Kevin Kelso Schultz, DDS
General Practice Dentistry · Bloomington, IL
Practice location
10 Heartland DrSuite C
Bloomington, IL 61704-7741
- Phone
- (309) 663-1721
NPI record
- NPI
- 1427099167
- Entity type
- Individual (Type 1)
- Enumeration date
- June 10, 2006
- Last updated
- February 19, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019-018656 | IL |
About Dr. Schultz
Kevin Kelso Schultz, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10 Heartland Dr, Suite C, Bloomington, IL 61704-7741. The NPI number 1427099167 was assigned on June 10, 2006 and the record was last updated on February 19, 2015.
Dr. Schultz lists a license in the registry: #019-018656 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kevin Kelso Schultz, DDS?
The NPI number is 1427099167.
What is the phone number of Dr. Schultz?
The phone number listed for the practice location is (309) 663-1721.
Where is Dr. Schultz located?
10 Heartland Dr, Suite C, Bloomington, IL 61704-7741.
What is the taxonomy code for Dr. Schultz?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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