Individual
DR. SAMUEL JOHN KELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1414 BLIZZARD DR, PARKERSBURG, WV 26101-6423
(304) 699-0354
Mailing address
86 VAUGHTS RUN WAY, WASHINGTON, WV 26181-9222
(304) 210-8744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4281
WV
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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