Kevin Charles Kelly, D.D.S.
NPI #1225123904 in Traverse City, Michigan
Provider Information
- NPI Number
- 1225123904
- Entity Type
- Individual
- Name
- Kevin Charles Kelly, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 555 S GARFIELD AVE
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49686-3423
- Phone
- (231) 947-0210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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