Individual
DR. PATRICK S KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9860 WESTPOINT DR STE 100, INDIANAPOLIS, IN 46256-3398
(317) 841-1100
(317) 841-2200
Mailing address
9860 WESTPOINT DR STE 100, INDIANAPOLIS, IN 46256-3398
(317) 841-1100
(317) 841-2200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12012362A
IN
Other
Enumeration date
04/18/2012
Last updated
02/01/2017
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