Individual
SEAN BRETT KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13590B NORTH MERIDIAN STREET, 101, CARMEL, IN 46032-1409
(317) 570-5480
Mailing address
13590B N MERIDIAN ST STE 101, CARMEL, IN 46032-1409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012724A
IN
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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