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1396914990
KENNETH RAYMOND KELLY
JOHNSON CITY, TN
NPI
1396914990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN DS2230)
Enumeration Date
2008-02-27
Last Update Date
2008-02-27
Business Address
Dr. KENNETH RAYMOND KELLY DDS
402 PRINCETON RD SUITE A
JOHNSON CITY, TN 37601-2057
Phone number: 423-283-4175
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Mailing Address
Dr. KENNETH RAYMOND KELLY DDS
402 PRINCETON RD SUITE A
JOHNSON CITY, TN 37601-2057
Phone number: 423-283-4175
Copy
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