Kevin Edward Medlin, DDS

NPI #1689704918 in Republic, Missouri

Provider Information

NPI Number: 1689704918
Entity Type: Individual
Name: Kevin Edward Medlin, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 834 S ILLINOIS AVE
City: Republic
State: Missouri
ZIP Code: 65738
Phone: (417) 732-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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