Kelly, Peter J

Kelly, Peter J is an individual health care provider with primary practice located at 2520 Us Highway 1 S , St Augustine FL 32086-6194. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kelly, Peter J can be contacted via phone (904) 797-4833.

Contact Information

Primary practice address
2520 Us Highway 1 S St Augustine FL 32086-6194
Phone: (904) 797-4833
Fax: (904) 797-7128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN19430 Florida

Profile Details

NPI number 1649558412
LBN Legal business name Kelly, Peter J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2011
Last updated Mar 29th, 2013 - about 13 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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