Search › Illinois › 1223X0400X
Kyle Childers, DMD, MS
NPI 1699914762 · on the registry since 2009 · sole proprietor
Practice
- Address
- 201 W Washington St
Benton, IL 62812 - Phone
- (618) 438-2815
- Fax
- (618) 439-6127
- Organisation at this address
- Kyle R Childers Dmd Ms Pc
Kyle Childers Specialty Partners Of Illinois, PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-13
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 Illinois