Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JOHN EGANHOUSE, D.D.S., M.S.
Active Sole ProprietorDR. KENNETH JOHN EGANHOUSE, D.D.S., M.S. is a Periodontology healthcare provider located in OTTUMWA, Iowa. NPI 1386772085 is currently active in the NPPES registry. Verify at CMS.
Periodontology · OTTUMWA, IA
Registration Details
- NPI Number
- 1386772085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2007 (19.410529972821 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7194 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
227 W 4TH STSUITE 2COTTUMWA, IA, 525012544Browse IA providers · Browse ZIP 52501
- Phone
- 6416840215
- Primary Specialty
-
Periodontology
1223P0300X
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.