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Individual
KELLY S HENRICHS
Active
Individual
KELLY S HENRICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6207
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008753
BLUE CROSS BLUE SHIELD
KS
01
—
6207
DELTA DENTAL
KS
01
—
882377
UNITED CONCORDIA
KS
Enumeration date
02/14/2006
Last updated
07/13/2026
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