Individual
DR. KRIS S KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13003 ROACHTON RD, PERRYSBURG, OH 43551-1357
(419) 874-7071
Mailing address
26608 GREEN VILLE DR, PERRYSBURG, OH 43551-5451
(419) 874-8752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17983
OH
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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