# KELLIE O'KEEFE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699158089
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11423 | CT | — |
| 1223P0700X | Prosthodontics | 11423 | CT | Yes |

## Other

- **Enumeration date:** 07/02/2015
- **Last updated:** 01/04/2024