Kevin Kellerman, D.M.D.
NPI 1962419317 · General Practice Dentistry · Glen Carbon, IL
Kevin Kellerman, D.M.D. is a General Practice Dentistry provider in Glen Carbon, IL (NPI 1962419317).
Provider details
- NPI number
- 1962419317
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 019-025862 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2021-05-13
- Certified
- 2021-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.