Dr. Kenneth Graeme McKelvie, DDS
Dentist in Stockton, CA. Individual provider (NPI-1).
NPI number1023909686
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1023909686
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Graeme McKelvie
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 111662 | CA | Yes |
Practice location
3453 Brookside RdStockton, CA 95219-1772
Phone 209-955-1500
Mailing address
247 Eagle Nest DrOakley, CA 94561-6044
Phone 619-399-6824
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