Individual
DR. KELLY N MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1422 QUARRIER ST, CHARLESTON, WV 25301-3015
(304) 343-3412
(304) 343-5091
Mailing address
1422 QUARRIER ST, CHARLESTON, WV 25301-3015
(304) 343-3412
(304) 343-5091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2508
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136642000
—
WV
Enumeration date
08/31/2006
Last updated
07/08/2007
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