MEDICARE: DR. KEITH RAY KONVALINKA DDS

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
1	122300000X	Dentist	2901012870	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275538662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEITH RAY KONVALINKA DDS

Provider Business Mailing Address
First Line	:	7070 STADIUM DR
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-9423
Country	:	US
Telephone Number	:	269-375-2856
Fax Number	:

Provider Business Practice Location Address
First Line	:	7070 STADIUM DR
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-9423
Country	:	US
Telephone Number	:	269-375-2856
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1295718138 — ROGER DENNIS BEYER M.D.
Practice Location Address:

7110 STADIUM DR
KALAMAZOO, MI
49009-9423

Practice Phone: 269-372-7600
Practice Fax: 269-372-7604

1144274002 — PATRICIA KONING GNP-C
Practice Location Address:

7100 STADIUM DR
KALAMAZOO, MI
49009-9423

Practice Phone: 269-345-0273
Practice Fax:

1760608772 — MS. DIANE MARIE WILLIAMS NURSE PRACTITIONER
Practice Location Address:

7110 STADIUM DR
KALAMAZOO, MI
49009-9423

Practice Phone: 269-372-1200
Practice Fax: 269-353-4860

1215304415 — CHRISTINA SELLERS FNP-C
Practice Location Address:

7100 STADIUM DR
KALAMAZOO, MI
49009-9423

Practice Phone: 269-345-0273
Practice Fax:

1366815466 — KEVIN MUNSON LMSW
Practice Location Address:

7100 STADIUM DR
KALAMAZOO, MI
49009-9423

Practice Phone: 269-345-0273
Practice Fax: 269-345-8522

1386204857 — DR. JEREMY MICHAEL ZALUSKI DDS
Practice Location Address:

7120 STADIUM DR
KALAMAZOO, MI
49009-9423

Practice Phone: 269-488-5400
Practice Fax:

Directions to “ DR. KEITH RAY KONVALINKA DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.