NPI 1427409945

Kim Edwards

Practitioner Dental Hygienist Fort Polk, LA

Practice location

Address: 7223 Mississippi Avenue, Fort Polk, LA 71459
Phone: (337) 531-2121

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 1613 (LA)

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Registry record

NPI: 1427409945
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2016
Record last updated: 27 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.