IndividualActive
Kenneth Keyes
NPI 1083791081 · Pediatric Dentistry · Washington, DC
Provider details
- NPI number
- 1083791081
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- DEN4004 (DC)
Specialties & taxonomies
Dental Providers
Practice location
111 Michigan Ave Nw
Washington, DC 20010-2978
Phone: (202) 884-3033
Approximate (ZIP-level) locationGet directions
Mailing address
111 Michigan Ave Nw
Washington, DC 20010-2978
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.