| NPI | 1942391370 |
|---|---|
| Other Name | KELLY AND KELLY |
| Entity Type | Organization |
| Authorized Contact | R WILLIAM KELLY President Owner 704-867-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 3944) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NC 3944) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-08-11 |