Individual
KELLY HARNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
714 LIBERTY ST, CLAY CENTER, KS 67432-1529
(785) 632-3126
Mailing address
409 SWEETGUM CT, MANHATTAN, KS 66503-8218
(541) 207-7125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61023
KS
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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