Kenneth Childress DDS

  • NPI 1912923475
According to our database, the NPI number for Kenneth Childress DDS is 1912923475 and activated since 17 years ago. Kenneth Childress DDS is an individual provider who specializes in General Practice, and the primary practice location is 721 Mechem Dr, Ruidoso, NM 88345. You can also contact Kenneth Childress DDS via telephone number is (575) 257-0246. Provider NPI information was last updated on 04/24/2012.

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Overview of Kenneth Childress DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/15/2006
  • Last updated: 04/24/2012

Primary Scrop of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 2704
  • License State: NM

Provider Mailing Address

  • Address: 721 Mechem Dr
    Sierra Mall #5
    Ruidoso, NM 88345
  • Phone: 575-257-0246
  • Fax: 575-257-0249

Provider Practice Location

  • Address: 721 Mechem Dr
    Sierra Mall #5
    Ruidoso, NM 88345
  • Phone: 575-257-0246
  • Fax: 575-257-0249

Scope of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 2704
  • License State: NM
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 88284751
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NM
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth Childress DDS?
  • A: The npi number for Kenneth Childress DDS is 1912923475.
  • Q: What are Kenneth Childress DDS's specialties?
  • A: Kenneth Childress DDS's specialties are General Practice and different specialities.
  • Q: What is the medical license for Kenneth Childress DDS?
  • A: The medical license number for Kenneth Childress DDS is 2704 and issued in NM in USA.
  • Q: Where is Kenneth Childress DDS practice location?
  • A: Kenneth Childress DDS is practicing at 721 Mechem Dr, Ruidoso, NM 88345.
  • Q: How to contact Kenneth Childress DDS?
  • A: You can contact Kenneth Childress DDS via 575-257-0246.