Individual
KENNETH BRIAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
201 PLEASANT VALLEY RD, FRANKLIN, KY 42134-2722
(270) 586-4631
(270) 586-4670
Mailing address
PO BOX 485, FRANKLIN, KY 42135-0485
(270) 586-4631
(270) 586-4670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7607
KY
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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