Dorsey, Kelli M.
Dorsey, Kelli M. is an individual health care provider with primary practice located at 4414 N Florissant Ave , Saint Louis MO 63107-1812. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Dorsey, Kelli M. can be contacted via phone (314) 898-1700.Contact Information
Primary practice address
4414 N Florissant Ave
Saint Louis MO 63107-1812
Phone: (314) 898-1700
Fax: (314) 814-8542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 2013025458 | Missouri |
Profile Details
| NPI number | 1528320447 |
|---|---|
| LBN Legal business name | Dorsey, Kelli M. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2012 |
| Last updated | Mar 3rd, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528320447 | NPPES |
| Missouri | Other | 2013025458 | LICENSE |
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