Individual
DR. PATRICK JAMES KELLY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
35992 S GRATIOT AVE, SUITE A, CLINTON TOWNSHIP, MI 48035-1776
(586) 790-7360
(586) 790-8860
Mailing address
35992 S GRATIOT AVE, SUITE A, CLINTON TOWNSHIP, MI 48035-1776
(586) 790-7360
(586) 790-8860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009898
MI
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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