Blair, Kelly G
Blair, Kelly G is an individual health care provider with primary practice located at 6316 Camp Bowie Blvd , Fort Worth TX 76116-5418. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Blair, Kelly G can be contacted via phone (817) 737-5155.Contact Information
Primary practice address
6316 Camp Bowie Blvd
Fort Worth TX 76116-5418
Phone: (817) 737-5155
Fax: (817) 737-4095
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DE00010345 | Washington |
Dental Providers / General Practice | 1223G0001X | 27548 | Texas |
Profile Details
NPI number | 1902979628 |
---|---|
LBN Legal business name | Blair, Kelly G |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2006 |
Last updated | May 8th, 2018 - about 6 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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