Brian Kelley, DDS, MD

NPI 1427224757 · on the registry since 2008 · sole proprietor

Practice

Address: 3839 W Congress St
Suite C
Lafayette, LA 70506
Phone: (337) 984-0403
Fax: (337) 981-9006
Organisation at this address: Reynold L Gaubert Dmd
Periodontics Associates, Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-07-20

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 Louisiana