Kenneth R. Kelly, D.D.S, P.C.

LBN: Kenneth R. Kelly, D.D.S, P.C.
Kenneth R. Kelly, D.D.S, P.C. is an health care organization with primary practice located at 402 Princeton Rd Suite A, Johnson City TN 37601-2057. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kenneth R. Kelly, D.D.S, P.C. can be contacted via phone (423) 283-4175, or through Kelly, Kenneth R. 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: (423) 283-0443
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Kenneth R. Doctor of Dental Surgery (DDS)
Phone: (423) 283-4175

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS2230 Tennessee

Profile Details

NPI number 1194734335
LBN Legal business name Kenneth R. Kelly, D.D.S, P.C.
DBA Doing business as
Authorized official Kelly, Kenneth R. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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