NPI 1013102417 · live from the CMS NPI Registry
Kevin Thomas Jarrell, D.D.S., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Kokomo, IN. National Provider Identifier 1013102417, active.
NPI record
| NPI | 1013102417 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 314 E Alto Rd, Kokomo, IN 46902 |
| Practice phone | 765-453-4261 |
| Enumerated | September 9, 2007 |
| Last updated | September 9, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12009911A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.