Kelly, Timothy Lynn

Kelly, Timothy Lynn is an sole proprietor health care provider with primary practice located at 1600 Mountain View Rd Suite 104, Rapid City SD 57702-4381. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kelly, Timothy Lynn can be contacted via phone (605) 593-0037.

Contact Information

Primary practice address
1600 Mountain View Rd Suite 104 Rapid City SD 57702-4381
Phone: (605) 593-0037
Fax: (605) 593-8351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D0505 South Dakota

Profile Details

NPI number 1588653281
LBN Legal business name Kelly, Timothy Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Mar 17th, 2016 - about 10 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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