# DR. KELLY ANN BATEMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801104427
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 26371 | TX | Yes |
| 122300000X | Dentist | DS038488 | PA | — |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 10/10/2016