Shane, Kelvin L.
Shane, Kelvin L. is an individual health care provider with primary practice located at 108 Walnut Street Suite A, Hudson WI 54016. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shane, Kelvin L. can be contacted via phone (715) 386-2133.Contact Information
Primary practice address
108 Walnut Street Suite A
Hudson WI 54016
Phone: (715) 386-2133
Fax: (763) 515-3970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D13373 | Minnesota |
| Dental Providers / Dentist | 122300000X | 1001487-15 | Wisconsin |
Profile Details
| NPI number | 1154733095 |
|---|---|
| LBN Legal business name | Shane, Kelvin L. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2014 |
| Last updated | Apr 17th, 2019 - about 7 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.
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