Individual
DR. KELLY LYNN EMERY BUECHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4104 BROADWAY STE D, GROVE CITY, OH 43123-3065
(614) 871-0088
(614) 871-0088
Mailing address
4104 BROADWAY STE D, GROVE CITY, OH 43123-3065
(614) 871-0088
(614) 871-0088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24709
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168182
—
OH
Enumeration date
05/18/2016
Last updated
09/16/2021
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