Individual
KELLY LYNNE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1557 ROUTE 82 STE 5, HOPEWELL JUNCTION, NY 12533-3328
(845) 896-8880
(845) 896-2439
Mailing address
49 ROMBOUT RD, POUGHKEEPSIE, NY 12603-6216
(845) 249-8268
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50054467
NY
Other
Enumeration date
11/01/2009
Last updated
11/19/2020
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