Individual
DR. KRISTOPHER JOHN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 HEALTH CENTER ROAD, KYLE, SD 57752-0540
(605) 455-8025
(605) 455-1529
Mailing address
1000 HEALTH CENTER ROAD, KYLE, SD 57752-0540
(605) 455-8025
(605) 455-1529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6484
IA
Other
Enumeration date
06/14/2006
Last updated
12/28/2016
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