Individual
KELLY WALSH WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
450 NEW MARKET BLVD STE 2, BOONE, NC 28607
(828) 265-1112
Mailing address
450 NEW MARKET BLVD STE 2, BOONE, NC 28607-5501
(828) 265-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6777
NV
1223G0001X
General Practice Dentistry
Primary
10959
NC
Other
Enumeration date
07/30/2015
Last updated
08/09/2020
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