Provider Demographics
NPI:1225352149
Name:KENNETH J. HELM
Entity Type:Organization
Organization Name:KENNETH J. HELM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:812-867-2414
Mailing Address - Street 1:6700 DARMSTADT RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-4614
Mailing Address - Country:US
Mailing Address - Phone:812-867-2414
Mailing Address - Fax:
Practice Address - Street 1:6700 DARMSTADT RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-4614
Practice Address - Country:US
Practice Address - Phone:812-867-2414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12006300A1223G0001X
IN12011356A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty