Search › Arizona › 122300000X
Matthew Kelly
NPI 1699061523 · on the registry since 2011 · sole proprietor
Practice
- Address
- 112 Sixth Avenue
Page, AZ 86040 - Phone
- (928) 645-3206
- Fax
- (928) 645-9139
- Organisation at this address
- Page Dental Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-20
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 Arizona