Individual
DR. STEVEN MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Mailing address
210 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7485
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
07346
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067017
—
IA
Enumeration date
10/17/2006
Last updated
10/27/2015
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