Individual
DR. KEITH W. KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1913 SOUTH BLVD W, TROY, MI 48098-1786
(248) 828-3185
(248) 828-0197
Mailing address
1913 SOUTH BLVD W, TROY, MI 48098-1786
(248) 828-3185
(248) 828-0197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013476
MI
Other
Enumeration date
01/04/2006
Last updated
09/02/2014
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