Search › Texas › 122300000X
Kevin Shively, DMD
NPI 1588096390 · on the registry since 2013
Practice
- Address
- 12219 Quaker Ave Ste A
Lubbock, TX 79424 - Phone
- (806) 698-8660
- Fax
- (806) 319-3878
Additional practice sites
- Unit 28038, Apo, AE
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas