Kesiah Elise Pulliam
Dental Hygienist
9940 N Landing Trl
Elm Creek
, Nebraska 68836-8058
Kesiah Elise Pulliam
Dental Hygienist
9940 N Landing Trl
Elm Creek
, Nebraska 68836-8058
(308) 440-2417
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Kesiah Elise Pulliam
- 9940 N Landing Trl
- Elm Creek, NE
- Zip : 68836-8058
- Phone : (308) 440-2417
Second Address
- Kesiah Elise Pulliam
- 9940 N Landing Trl
- Elm Creek, NE
- Zip : 68836-8058
- Phone : (308) 440-2417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1698 | NE |
National Provider Identifier
| NPI | 1053875039 |
|---|---|
| Provider Name | Kesiah Elise Pulliam |
| First Address | Elm Creek, NE 68836-8058 |
| Second Address | Elm Creek, NE 68836-8058 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2019 |
| Last Update Date | 24/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.