DR. Kevin John Kellerman, D.M.D.
NPI #1962419317 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1962419317
- Entity Type
- Individual
- Name
- DR. Kevin John Kellerman, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Aug 1, 2006
- Last Updated
- May 13, 2021
Practice Location
- Address
- 16 JUNCTION DR W
- Address 2
- SUITE 101
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-2996
- Phone
- (618) 228-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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