Kelli L. Hargrave
Individual provider Active NPI Dental Hygienist · Levelland, TX
NPI 1366632804 · NPPES record last updated Jul 31, 2007
Key facts
- NPI
- 1366632804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 14772 (TX)
- Practice address
- 1000 FM 300
Levelland, TX 79336-6235 - Phone
- (806) 897-1987
- Fax
- (806) 894-3378
- NPI assigned
- Jul 31, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 14772 | TX | Yes |
Addresses
Primary practice location
1000 FM 300
Levelland, TX 79336-6235
Mailing address
1000 FM 300
Levelland, TX 79336-6235
Phone (806) 897-1987
Other providers in Levelland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.