DR. Kelly Lee Kingma, D.D.S.

NPI #1972759546 in Bettendorf, Iowa

Provider Information

NPI Number: 1972759546
Entity Type: Individual
Name: DR. Kelly Lee Kingma, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 14, 2008
Last Updated: Apr 23, 2012

Practice Location

Address: 3024 VICTORIA ST
City: Bettendorf
State: Iowa
ZIP Code: 52722-2793
Phone: (563) 332-2447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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