DR. Timothy Lynn Kelly, DDS
NPI #1588653281 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1588653281
- Entity Type
- Individual
- Name
- DR. Timothy Lynn Kelly, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 17, 2005
- Last Updated
- Mar 17, 2016
Practice Location
- Address
- 1600 MOUNTAIN VIEW RD
- Address 2
- SUITE 104
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702-4381
- Phone
- (605) 593-0037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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