Kelly, Kenneth Raymond
Kelly, Kenneth Raymond is an individual health care provider with primary practice located at 402 Princeton Rd Suite A, Johnson City TN 37601-2057. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kelly, Kenneth Raymond can be contacted via phone (423) 283-4175.Contact Information
Primary practice address
402 Princeton Rd Suite A
Johnson City TN 37601-2057
Phone: (423) 283-4175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS2230 | Tennessee |
Profile Details
| NPI number | 1396914990 |
|---|---|
| LBN Legal business name | Kelly, Kenneth Raymond |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2008 |
| Last updated | Feb 27th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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