Kelley, Keith W.

Kelley, Keith W. is an sole proprietor health care provider with primary practice located at 1913 South Blvd W , Troy MI 48098-1786. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kelley, Keith W. can be contacted via phone (248) 828-3185.

Contact Information

Primary practice address
1913 South Blvd W Troy MI 48098-1786
Fax: (248) 828-0197
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901013476 Michigan

Profile Details

NPI number 1992783658
LBN Legal business name Kelley, Keith W.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Sep 2nd, 2014 - about 10 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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