Individual
DR. KELLY L CLARKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3715 BLOOMINGTON ST UNIT 160, COLORADO SPRINGS, CO 80922-3207
(719) 599-0665
Mailing address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7062
(210) 434-1704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
202014
CO
1223G0001X
General Practice Dentistry
25029
TX
1223G0001X
General Practice Dentistry
6664
NE
Other
Enumeration date
10/10/2006
Last updated
09/03/2025
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