Individual
DR. KELLY NICOLE TABACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7001 W 121ST ST, OVERLAND PARK, KS 66209-2009
(913) 953-6767
Mailing address
7001 W 121ST ST, OVERLAND PARK, KS 66209-2009
(913) 953-6767
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7207
KS
Other
Enumeration date
03/13/2007
Last updated
11/17/2016
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