Mudrow, Kevin Richard
Mudrow, Kevin Richard is an individual health care provider with primary practice located at 333 S Woodruff Ave Suite F, Idaho Falls ID 83401-4322. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mudrow, Kevin Richard can be contacted via phone (208) 524-2030.Contact Information
Primary practice address
333 S Woodruff Ave Suite F
Idaho Falls ID 83401-4322
Phone: (208) 524-2030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D8946 | Oregon |
| Dental Providers / Dentist | 122300000X | D4481 | Idaho |
Profile Details
| NPI number | 1114126992 |
|---|---|
| LBN Legal business name | Mudrow, Kevin Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Sep 11th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Thompson, Devin Rex
2300 E 17Th St , Idaho Falls ID 83404-6504 -
Hillam, Kirt Bruce
139 Alturas St , Idaho Falls ID 83401-4309 -
Munk, Lyle Kris
2588 Channing Way , Idaho Falls ID 83404 -
Oswald, Brad L
3456 E 17Th St Suite 115, Idaho Falls ID 83406 -
Moulton, Ethan D.
2375 E Sunnyside Rd Ste I , Idaho Falls ID 83404-8281 -
Cannon, Christopher M
3550 Washington Pkwy , Idaho Falls ID 83404-4968 -
Stoker, Richard D
1520 Elk Creek Dr , Idaho Falls ID 83404-8322 -
Harper, Philip R
3550 Washington Pkwy , Idaho Falls ID 83404-4968