Individual
PATRICK ANTHONY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3801 S HURSTBOURNE PKWY, LOUISVILLE, KY 40299-7319
(502) 709-9430
Mailing address
17 LOCKERBIE GRN, VALPARAISO, IN 46385-9276
(219) 510-2506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11372
KY
1223G0001X
General Practice Dentistry
11372
KY
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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