Kenneth Raymond Kelly in Johnson City - Dentist
Kenneth Raymond Kelly - NPI 1396914990
Kenneth Raymond Kelly is a Dentist in Johnson City, Tennessee. Kenneth Raymond Kelly practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Raymond Kelly is 1396914990. The last update date is 2008-02-27.
Kenneth Raymond Kelly's current location address is 402 Princeton Rd, Johnson City, Tennessee. You can contact this provider via phone number 4232834175. The mailing address for Kenneth Raymond Kelly is 402 Princeton Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Raymond Kelly |
|---|---|
| Address | 402 Princeton Rd, Johnson City, Tennessee |
| Phone Number | 4232834175 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1396914990 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 402 Princeton Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376012057 |
| Phone Number | 4232834175 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS2230 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Raymond Kelly by the Centers for Medicare & Medicaid Services?
The Kenneth Raymond Kelly has been issued the NPI (National Provider Identifier) 1396914990, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenneth Raymond Kelly is physically located?
The Kenneth Raymond Kelly is physically situated at the following address: 402 Princeton Rd, Johnson City, TN, 376012057.
What is Kenneth Raymond Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Raymond Kelly's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Kenneth Raymond Kelly receive its 1396914990 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Raymond Kelly was assigned its 1396914990 on 2008-02-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kenneth Raymond Kelly last refreshed?
The information related to the Kenneth Raymond Kelly, including its address, specialty, and other relevant details, was last updated on 2008-02-27.