Individual
DR. MICHAEL FRANK KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 MILL ST, EUGENE, OR 97401-4259
(541) 344-8328
Mailing address
PO BOX 659, WALTERVILLE, OR 97489-0659
(541) 896-3280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8037
OR
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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