Individual
DR. GREG ALAN KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
109 W MAIN ST, INDEPENDENCE, KS 67301-3510
(620) 331-3180
(620) 331-3170
Mailing address
109 W MAIN ST, INDEPENDENCE, KS 67301-3510
(620) 331-3180
(620) 331-3170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6381
KS
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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