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NPI Code Detail

MEDICARE: KAMRYN UNGEHEUER RDH

MEDICARE: KAMRYN UNGEHEUER RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist2023027015MO

General Provider Information

NPI Number : 1982414603
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMRYN UNGEHEUER RDH
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 W AUSTIN BLVD
Second Line :
City : NEVADA
State : MO
Zip : 64772-3124
Country : US
Telephone Number : 844-853-8937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2025
Last Update Date : 01/14/2025

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Directions to “ KAMRYN UNGEHEUER RDH” Practice Location

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