Individual
ROBERT H KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
24540 E WELCHES RD, WELCHES, OR 97067-0347
(503) 622-3085
Mailing address
24540 E WELCHES RD, WELCHES, OR 97067-0347
(503) 622-3085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9179
OR
1223G0001X
General Practice Dentistry
2114
HI
Other
Enumeration date
05/09/2007
Last updated
11/08/2013
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