Individual
DR. BRIAN WILLIAM KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3839 W CONGRESS ST, SUITE C, LAFAYETTE, LA 70506-6000
(337) 984-0403
(337) 981-9006
Mailing address
3839 W CONGRESS ST, SUITE C, LAFAYETTE, LA 70506-6000
(337) 984-0403
(337) 981-9006
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5855
LA
Other
Enumeration date
05/06/2008
Last updated
07/20/2016
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