IndividualActive
Kevin Mcminn, D.M.D, M.S.D
NPI 1578865754 · Orthodontics and Dentofacial Orthopedics Dentistry · Ketchum, ID
Provider details
- NPI number
- 1578865754
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D, M.S.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26105 (TX)
Mailing address
Po Box 6327
Ketchum, ID 83340-6327
Registry dates
- Enumerated
- 2010-11-22
- Last updated
- 2013-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.