Kelly Family Dentistry
NPI #1063764579 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1063764579
- Entity Type
- Organization
- Organization Name
- Kelly Family Dentistry
- Primary Specialty
- Dentist
- Enumeration Date
- Oct 8, 2012
- Last Updated
- Oct 8, 2012
Practice Location
- Address
- 2412 W FAIDLEY AVE
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-4327
- Phone
- (308) 389-2811
Authorized Official
- Name
- BRAD JAMES KELLY, D.D.S.
- Title
- OWNER/DENTIST
- Phone
- (308) 389-2811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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