Individual
DR. JAMES C KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1518 DOCTORS CT, WATERTOWN, WI 53094-4102
(920) 261-8228
Mailing address
1518 DOCTORS CT, WATERTOWN, WI 53094-4102
(920) 261-8228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6945-15
WI
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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