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Individual
KELLY SUE SAYRE
Active
Individual
KELLY SUE SAYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
83381
CT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD.40423
AL
Other
Enumeration date
06/05/2014
Last updated
04/28/2026
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