Individual
DR. KELLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
275 N MAIN ST, VALENTINE, NE 69201-1840
(402) 322-3566
Mailing address
275 N MAIN ST, VALENTINE, NE 69201-1840
(307) 267-7275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1367
WY
1223G0001X
General Practice Dentistry
Primary
7069
NE
Other
Enumeration date
05/15/2013
Last updated
04/07/2016
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