NPI 1487248779

Michelle Ralph, RDH

Practitioner Dental Hygienist Fort Leavenworth, KS

Practice location

Address: 520 Pope Ave, Fort Leavenworth, KS 66027-2332
Phone: (913) 684-5516

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 11679 (KS)

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Registry record

NPI: 1487248779
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2021
Record last updated: 26 Feb 2021

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.