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Search › Tennessee › 122300000X

Kenneth Kelly, DDS

NPI 1396914990 · on the registry since 2008

Practice

Address
402 Princeton Rd
Suite A
Johnson City, TN 37601
Phone
(423) 283-4175
Organisation at this address
Kenneth R. Kelly, D.D.S, P.C.
Laboratory Corporation Of America Holdings
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee