Individual
DR. KELLY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2931 STATE ROAD, CUYAHOGA FALLS, OH 44223
(330) 968-2268
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
(330) 968-2268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22154
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2649334
—
OH
Enumeration date
08/11/2008
Last updated
11/01/2017
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