Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN LEE DENCKLAU
Active Sole ProprietorKEVIN LEE DENCKLAU is a Bus healthcare provider located in FORT DODGE, Iowa. NPI 1619661790 is currently active in the NPPES registry. Verify at CMS.
Bus · FORT DODGE, IA
Registration Details
- NPI Number
- 1619661790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2023 (3.1891501452516 yrs)
- Last Updated
- Jun 2, 2023
- License
-
702XX8341 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1044 N 31ST PLFORT DODGE, IA, 505012920Browse IA providers · Browse ZIP 50501
- Phone
- 5154088647
- Primary Specialty
-
Bus
343900000X
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.