# KELLY FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902985658
- **Authorized official:** DR. KENNETH BRIAN KELLY DMD (DENTIST OWNER)
- **Authorized official phone:** (270) 586-4631

## Contact information

- **Practice address:** 201 PLEASANT VALLEY RD, FRANKLIN, KY 42134
- **Practice address phone:** (270) 586-4631
- **Practice address fax:** (270) 586-4670
- **Mailing address:** PO BOX 485, FRANKLIN, KY 42135
- **Mailing address phone:** (270) 586-4631
- **Mailing address fax:** (270) 586-4670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3236 | KY | — |
| 122300000X | Dentist | 7607 | KY | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/22/2020