Kristopher John Kelly DDS

NPI 1053354258 - Dentist - 1223G0001X

NPI Details
NPI 1053354258
Gender Male
Enumeration Date 06/14/2006
Last Updated 10/05/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
HIGHWAY JUNCTION 371- ROUTE 9
CROWNPOINT HEALTHCARE FACILITY
CROWNPOINT NM, 87313, US
Phone (641) 749-2525
Fax (641) 749-2546
Business Location
PO BOX 31001-0653
PASADENA CA, 91110-0653, US
Phone (641) 430-7025
Fax (641) 749-2525
Toxanomy
Taxonomy Code 1223G0001X
License State Iowa
License Number 6484
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According to our database, Dr. Kristopher John Kelly DDS NPI is 1053354258, taxonomy code is 1223G0001X and license number is 6484, license state is located at Iowa. Kristopher John Kelly DDS physically located at Highway Junction 371- Route 9, Crownpoint NM, 87313. NPI Number Kristopher John Kelly DDS has the Individual type.

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1053354258 NPI number is provided on an as is basis without warranty of any kind. 1053354258 is maintained by the National Plan & Provider Enumeration System. The contents of Kristopher John Kelly DDS are for informational purposes only.