DR. KENNETH KELLY, DDS

Dentist

Active Individual
NPI: 1396914990

Practice Address

402 PRINCETON RD
SUITE A
Johnson City, TN 37601

Phone: (423) 283-4175

Specialties

Specialty Code Primary License
Dentist 122300000X Yes DS2230 (TN)

Frequently Asked Questions

NPI 1396914990 is the National Provider Identifier for DR. KENNETH KELLY, DDS, a Dentist provider located in Johnson City, TN. This NPI was enumerated on February 27, 2008.
DR. KENNETH KELLY, DDS practices at 402 PRINCETON RD, SUITE A, Johnson City, TN 37601.

Quick Facts

NPI
1396914990
Type
Individual
Enumerated
Feb 27, 2008
Last Updated
Feb 27, 2008

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