Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN RAY HADDLE, DDS, MD
Active Sole ProprietorDR. KEVIN RAY HADDLE, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in GENEVA, Illinois. NPI 1861434540 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GENEVA, IL
Registration Details
- NPI Number
- 1861434540
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2006 (20.138614601323 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
426 S 3RD STGENEVA, IL, 601342708Browse IL providers · Browse ZIP 60134
- Phone
- 6302329090
- Fax
- 6302329094
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.