Shenika Sharee Kelly
NPI #1013282961 in Jackson, Mississippi
Provider Information
- NPI Number
- 1013282961
- Entity Type
- Individual
- Name
- Shenika Sharee Kelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 11, 2012
- Last Updated
- Jun 3, 2018
Practice Location
- Address
- 514 E WOODROW WILSON AVE STE G
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216
- Phone
- (769) 572-4425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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