MRS. Kelly Mciver Trout, DMD

NPI #1588743595 in Columbus, Mississippi

Provider Information

NPI Number: 1588743595
Entity Type: Individual
Name: MRS. Kelly Mciver Trout, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 2, 2006
Last Updated: Apr 15, 2013

Practice Location

Address: 2228 MILITARY RD
City: Columbus
State: Mississippi
ZIP Code: 39705-2456
Phone: (662) 328-0044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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