Kelley, John

Kelley, John is an individual health care provider with primary practice located at 38994 Dusty Ln , Polson MT 59860-8773. He recently has only one registered license in Dental Providers / Dental Laboratory Technician, which is considered as his primary health care specialty. Kelley, John can be contacted via phone (406) 883-6247.

Contact Information

Primary practice address
38994 Dusty Ln Polson MT 59860-8773
Phone: (406) 883-6247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Laboratory Technician 126900000X

Profile Details

NPI number 1871338954
LBN Legal business name Kelley, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2024
Last updated Jun 28th, 2024 - about last year

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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