Individual
KATHERINE ANNE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, PHD,MS
Contact information
Practice address
1020 E MICHIGAN AVE, SALINE, MI 48176-1525
(734) 429-7676
(734) 470-6646
Mailing address
1020 E MICHIGAN AVE, PRIVATE PRACTICE, SALINE, MI 48176-1525
(734) 429-7676
(734) 470-6646
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901017856
MI
Other
Enumeration date
06/21/2007
Last updated
12/13/2013
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