Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN L HAYWOOD SR., RDA
Active Sole ProprietorMR. KEVIN L HAYWOOD SR., RDA is a Dental Assistant healthcare provider located in FORT WORTH, Texas. NPI 1245513209 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · FORT WORTH, TX
Registration Details
- NPI Number
- 1245513209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2011 (14.891755923898 yrs)
- Last Updated
- Sep 26, 2011
- License
-
25953 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3740 S UNIVERSITY DRSUITE 201FORT WORTH, TX, 761093700Browse TX providers · Browse ZIP 76109
- Phone
- 8176140794
- Fax
- 8173677714
- Primary Specialty
-
Dental Assistant
126800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.