Kerwin John Kahlich, DDS

Individual provider Active NPI General Practice Dentistry · Cuero, TX

NPI 1467585927 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1467585927
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
11018 (TX)
Practice address
114 W Reuss Blvd
Cuero, TX 77954-3510
Phone
(361) 275-5785
Fax
(361) 275-5786
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160621001458 TX Order and Referring Only - Dentist
Practitioner - Dentist
6406147511

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11018 TX Yes

Addresses

Primary practice location

114 W Reuss Blvd
Cuero, TX 77954-3510

Mailing address

114 W Reuss Blvd
Cuero, TX 77954-3510
Phone (361) 275-5785

Other providers in Cuero, TX

All providers in Cuero, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.