Individual
DR. JOSEPH PATRICK KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
89574 545 AVE, CROFTON, NE 68730-3238
(206) 948-2763
Mailing address
89574 545 AVE, CROFTON, NE 68730-3238
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5907
NE
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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