Individual
DR. JESS ANDREW KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1570 ADAMS ST, MANKATO, MN 56001-5192
(507) 386-0288
Mailing address
1759 ORCHID DR N, NORTH MANKATO, MN 56003-1431
(507) 344-0773
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D11639
MN
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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