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Individual
DR. KELLIE ELIZABETH BARNES
Active
Individual
DR. KELLIE ELIZABETH BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5660
OK
122300000X
Dentist
Primary
AR3678
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558695601
TYPE 2 NPI
AR
05
—
177181608
—
AR
Enumeration date
08/24/2005
Last updated
01/07/2021
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