| Kelly Family Dentistry | |
|
2412 W Faidley Ave Grand Island NE 68803-4327 | |
| (308) 389-2811 | |
| (308) 389-2871 |
| Full Name | Kelly Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2412 W Faidley Ave, Grand Island, Nebraska |
| Authorized Official Name and Position | Brad James Kelly (OWNER/DENTIST) |
| Authorized Official Contact | 3083892811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Family Dentistry 2412 W Faidley Ave Grand Island NE 68803-4327 Ph: (308) 389-2811 | Kelly Family Dentistry 2412 W Faidley Ave Grand Island NE 68803-4327 Ph: (308) 389-2811 |
| NPI Number | 1063764579 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063764579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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