Individual provider · Type 1 NPI

Kevin D. Banner, DDS

General Practice Dentistry · Burley, ID

NPI number 1023053238 Active

About NPI 1023053238

Kevin D. Banner, DDS's National Provider Identifier is 1023053238, issued on Jun 19, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Burley, ID. The record was last updated on Jul 8, 2007.