Jess Andrew Kelly D.D.S., M.S.

NPI 1063584563 - Dentist - 1223E0200X

NPI Details
NPI 1063584563
Gender Male
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1570 ADAMS ST
MANKATO MN, 56001-5192, US
Phone (507) 386-0288
Fax
Business Location
1759 ORCHID DR N
NORTH MANKATO MN, 56003-1431, US
Phone (507) 344-0773
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State Minnesota
License Number D11639
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According to our database, Dr. Jess Andrew Kelly D.D.S., M.S. NPI is 1063584563, taxonomy code is 1223E0200X and license number is D11639, license state is located at Minnesota. Jess Andrew Kelly D.D.S., M.S. physically located at 1570 Adams St, Mankato MN, 56001-5192. NPI Number Jess Andrew Kelly D.D.S., M.S. has the Individual type.

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1063584563 NPI number is provided on an as is basis without warranty of any kind. 1063584563 is maintained by the National Plan & Provider Enumeration System. The contents of Jess Andrew Kelly D.D.S., M.S. are for informational purposes only.