Individual
DR. STEPHEN S. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2530 N 8TH ST, SUITE 103, GRAND JUNCTION, CO 81501-8857
(970) 245-2222
(970) 243-4438
Mailing address
2530 N 8TH ST, SUITE 103, GRAND JUNCTION, CO 81501-8857
(970) 245-2222
(970) 243-4438
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104240
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04014940
—
CO
Enumeration date
09/19/2005
Last updated
06/03/2008
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