Greg Alan Kelley in Independence - General Practice

Greg Alan Kelley - NPI 1629079470

Greg Alan Kelley is a General Practice in Independence, Kansas. Greg Alan Kelley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Greg Alan Kelley is 1629079470. The last update date is 2007-07-08.

Greg Alan Kelley's current location address is 109 W Main St, Independence, Kansas. You can contact this provider via phone number 6203313180 and fax number 6203313170. The mailing address for Greg Alan Kelley is 109 W Main St, Independence, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Greg Alan Kelley
Address 109 W Main St, Independence, Kansas
Phone Number 6203313180
Fax Number 6203313170
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1629079470
Provider Enumeration Date 2005-08-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 109 W Main St
City Independence
State Kansas (KS)
Post Code 673013510
Phone Number 6203313180
Fax Number 6203313170

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6381
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Greg Alan Kelley

What is the Greg Alan Kelley's 1629079470?

The Greg Alan Kelley's NPI (National Provider Identifier) Number is 1629079470. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Greg Alan Kelley is geographically located?

The Greg Alan Kelley is physically situated at the following location: 109 W Main St, Independence, KS, 673013510.

What is Greg Alan Kelley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Greg Alan Kelley is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Greg Alan Kelley receive its 1629079470 assignment from the Centers for Medicare & Medicaid Services?

The Greg Alan Kelley was assigned its 1629079470 by the Centers for Medicare & Medicaid Services on 2005-08-02.

As of what date was the information pertaining to Greg Alan Kelley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Greg Alan Kelley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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