Individual
PAMELA KAY KELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
303 N MAIN ST, CLARION, IA 50525-1441
(515) 532-3343
(515) 532-2956
Mailing address
303 N MAIN ST, CLARION, IA 50525-1441
(515) 532-3343
(515) 532-2956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7489
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072256
—
IA
01
—
039602
BCBS
IA
01
—
7489
DELTA DENTAL
—
Enumeration date
04/11/2008
Last updated
04/11/2008
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