Kenneth Nelkin DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

5632 Issued in KS

Legal business name

KENNETH NELKIN DDS LLC

Practice address

12803 W 87TH Street Pkwy
Lenexa, KS 66215-4528

Phone

(913) 335-6057

NPI assigned

Mar 20, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Nelkin, DDS

Title

Owner

Phone

(913) 335-6057

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1407397789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12803 W 87TH STREET PKWY",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12803 W 87TH STREET PKWY",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154528",
            "telephone_number": "913-335-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH NELKIN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "NELKIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-335-6057",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Michelle Kelley, PHARMD
• Lauren Elizabeth Kellogg
• Christina J Kelly, PA
• Elizabeth Anne Kelly, FNP-C
• Kwynn Kelly
• Lauren A Kenny, APRN
• Kerri J. Hall LLC
• Ishraq Khaleel
• Misha Khan, LPC
• Angela Khoury

• Dentist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.