Provider Demographics
NPI:1114426368
Name:SERENITY SLEEP SOLUTIONS OF KEOKUK, LLC
Entity Type:Organization
Organization Name:SERENITY SLEEP SOLUTIONS OF KEOKUK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:STURHAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:217-257-0386
Mailing Address - Street 1:3327 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KEOKUK
Mailing Address - State:IA
Mailing Address - Zip Code:52632-2209
Mailing Address - Country:US
Mailing Address - Phone:217-257-0386
Mailing Address - Fax:
Practice Address - Street 1:3327 MAIN ST
Practice Address - Street 2:
Practice Address - City:KEOKUK
Practice Address - State:IA
Practice Address - Zip Code:52632-2225
Practice Address - Country:US
Practice Address - Phone:217-257-0386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty