Individual
JOHN HENRY KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001805
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
62784
CA
Other
Enumeration date
05/23/2008
Last updated
07/21/2022
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