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Individual

MR. ALLEN K KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4901 LEGENDS DR, LAWRENCE, KS 66049-5800
(785) 841-8894
(785) 841-6480
Mailing address
4901 LEGENDS DR, LAWRENCE, KS 66049-5800
(785) 841-8894
(785) 841-6480

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5999
KS

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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