Individual
DR. KELLEY ANNE HURSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7000
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS037967
PA
1223E0200X
Endodontics
Primary
DS037967
PA
Other
Enumeration date
08/10/2009
Last updated
07/21/2026
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