Kevin Charles Kelly in Traverse City - General Practice
Kevin Charles Kelly - NPI 1225123904
Kevin Charles Kelly is a General Practice in Traverse City, Michigan. Kevin Charles Kelly practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Charles Kelly is 1225123904. The last update date is 2007-07-08.
Kevin Charles Kelly's current location address is 555 S Garfield Ave, Traverse City, Michigan. You can contact this provider via phone number 2319470210 and fax number 2319476770. The mailing address for Kevin Charles Kelly is 555 S Garfield Ave, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Charles Kelly |
|---|---|
| Address | 555 S Garfield Ave, Traverse City, Michigan |
| Phone Number | 2319470210 |
| Fax Number | 2319476770 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1225123904 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 555 S Garfield Ave |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496863423 |
| Phone Number | 2319470210 |
| Fax Number | 2319476770 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12127 |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kevin Charles Kelly by the Centers for Medicare & Medicaid Services?
The Kevin Charles Kelly has been issued the NPI (National Provider Identifier) 1225123904, 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 Kevin Charles Kelly is physically located?
The Kevin Charles Kelly is physically situated at the following address: 555 S Garfield Ave, Traverse City, MI, 496863423.
What is Kevin Charles Kelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Charles Kelly is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225123904 to Kevin Charles Kelly?
The Centers for Medicare & Medicaid Services assigned the 1225123904 to Kevin Charles Kelly on 2006-10-04.
When was the information regarding Kevin Charles Kelly most recently updated?
The details pertaining to the Kevin Charles Kelly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.