Dr Kelsie Lynn Jack, DDS - Dentist in Andover, KS

Dr Kelsie Lynn Jack, DDS is a Dentist - General Practice based in Andover, Kansas. Dr Kelsie Lynn Jack is licensed to practice in Kansas (license number 61874) and her current practice location is 105 S Andover Rd Ste G, Andover, Kansas. She can be reached at her office (for appointments etc.) via phone at (316) 733-4886.

NPI number for Dr Kelsie Lynn Jack is 1467020362 and her current mailing address is 105 S Andover Rd Ste G, Andover, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467020362.

Contact Information

Dr Kelsie Lynn Jack, DDS
105 S Andover Rd Ste G,
Andover, KS 67002-8046
(316) 733-4886
Not Available



Healthcare Provider's Profile

Full NameDr Kelsie Lynn Jack
GenderFemale
SpecialityDentist - General Practice
Location105 S Andover Rd Ste G, Andover, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467020362
  • Provider Enumeration Date: 06/16/2021
  • Last Update Date: 09/27/2023

Medical Identifiers

Medical identifiers for Dr Kelsie Lynn Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467020362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 61874 (Kansas)Secondary
1223G0001XDentist - General Practice 61874 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelsie Lynn Jack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kelsie Lynn Jack, DDS
105 S Andover Rd Ste G,
Andover, KS 67002-8046

Ph: (316) 733-4886
Dr Kelsie Lynn Jack, DDS
105 S Andover Rd Ste G,
Andover, KS 67002-8046

Ph: (316) 733-4886

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› Verified 6 days ago


Dentist in Andover, KS

David L. Foley, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1031 N Andover Rd, Andover, KS 67002
Phone: 316-733-0411    
Dr. Bruce A Brittain, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 428 Lioba Dr, Andover, KS 67002
Phone: 316-733-2415    Fax: 316-733-5737
Aaron Huslig, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 105 S Andover Rd, Suite G, Andover, KS 67002
Phone: 316-733-4886    

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