Lucas, Kelly W

Lucas, Kelly W is an individual health care provider with primary practice located at 2 School House Rd , Naknek AK 99633. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lucas, Kelly W can be contacted via phone (907) 357-5214.

Contact Information

Primary practice address
2 School House Rd Naknek AK 99633
Phone: (907) 357-5214
Fax: (907) 357-5213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X AA673 Alaska

Profile Details

NPI number 1023239902
LBN Legal business name Lucas, Kelly W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023239902 NPPES
Alaska MEDICAID DD0673

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