Kelly, Andrea

Kelly, Andrea is an individual health care provider with primary practice located at 2908 Auburn Rd , Huntington WV 25704-2715. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kelly, Andrea can be contacted via phone (304) 781-5800.

Contact Information

Primary practice address
2908 Auburn Rd Huntington WV 25704-2715
Phone: (304) 781-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3487 West Virginia

Profile Details

NPI number 1023098811
LBN Legal business name Kelly, Andrea
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 28th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023098811 NPPES
Kentucky MEDICAID 60002029
Kentucky MEDICAID 2408513
Kentucky MEDICAID 4002196000

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