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Individual

DR. NEIL KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D. S.

Contact information

Practice address
400 E RED BRIDGE RD, SUITE 119, KANSAS CITY, MO 64131-4035
(816) 942-8550
(816) 942-0790
Mailing address
400 E RED BRIDGE RD, SUITE 119, KANSAS CITY, MO 64131-4035
(816) 942-8550
(816) 942-0790

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015230
MO
1223G0001X
General Practice Dentistry
KS6683
KS

Other

Enumeration date
04/20/2007
Last updated
11/13/2009
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