Individual
DR. GERALD BRYAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5303 SKEENS RIDGE RD, BIG STONE GAP, VA 24219-4059
(276) 523-1652
Mailing address
5303 SKEENS RIDGE RD, BIG STONE GAP, VA 24219-4059
(276) 523-1652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401003752
VA
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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