Kellie Renee Bergendahl RDH

  • NPI 1053563619
According to our database, the NPI number for Kellie Renee Bergendahl RDH is 1053563619 and activated since 15 years ago. Kellie Renee Bergendahl RDH is an individual provider who specializes in Dental Hygienist, and the primary practice location is 427 12th St, Plummer, ID 83851. You can also contact Kellie Renee Bergendahl RDH via telephone number is (208) 686-1931. Provider NPI information was last updated on 09/23/2019.

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Overview of Kellie Renee Bergendahl RDH

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/15/2008
  • Last updated: 09/23/2019

Primary Scrop of Practice

  • Taxonomy Code: 124Q00000X
  • Specialty: Dental Hygienist
  • License Number: DH2335
  • License State: ID

Provider Mailing Address

  • Address: Po Box 994
    Coeur D Alene, ID 83816
  • Phone: 208-625-0353
  • Fax:

Provider Practice Location

  • Address: 427 12th St
    Plummer, ID 83851
  • Phone: 208-686-1931
  • Fax: 208-686-5133

Scope of Practice

  • Taxonomy Code: 124Q00000X
  • Specialty: Dental Hygienist
  • License Number: DH2335
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: RDH 20164
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: STATE LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kellie Renee Bergendahl RDH?
  • A: The npi number for Kellie Renee Bergendahl RDH is 1053563619.
  • Q: What are Kellie Renee Bergendahl RDH's specialties?
  • A: Kellie Renee Bergendahl RDH's specialties are Dental Hygienist and different specialities.
  • Q: What is the medical license for Kellie Renee Bergendahl RDH?
  • A: The medical license number for Kellie Renee Bergendahl RDH is DH2335 and issued in ID in USA.
  • Q: Where is Kellie Renee Bergendahl RDH practice location?
  • A: Kellie Renee Bergendahl RDH is practicing at 427 12th St, Plummer, ID 83851.
  • Q: How to contact Kellie Renee Bergendahl RDH?
  • A: You can contact Kellie Renee Bergendahl RDH via 208-686-1931.