Individual
DR. ROBERT EV KELLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
10 SAINT JOHNS MEDICAL PARK DR STE C, SAINT AUGUSTINE, FL 32086-5202
(904) 467-5507
Mailing address
10 SAINT JOHNS MEDICAL PARK DR STE C, SAINT AUGUSTINE, FL 32086-5202
(904) 467-5507
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
26370
FL
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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