Individual
KELLY A LEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 E 18TH ST, ROLLA, MO 65401-3398
(573) 426-4455
Mailing address
1081 E 18TH ST, ROLLA, MO 65401-3398
(573) 426-4455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025021893
MO
Other
Enumeration date
05/09/2023
Last updated
07/10/2025
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