| NPI | 1588107700 |
|---|---|
| Other Name | KEVIN K CHRISTENSEN, PLLC |
| Entity Type | Organization |
| Authorized Contact | KEVIN K CHRISTENSEN President 870-741-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2016-11-19 |