Kelly, Jess Andrew

Kelly, Jess Andrew is an individual health care provider with primary practice located at 1570 Adams St , Mankato MN 56001-5192. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Kelly, Jess Andrew can be contacted via phone (507) 386-0288.

Contact Information

Primary practice address
1570 Adams St Mankato MN 56001-5192
Phone: (507) 386-0288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D11639 Minnesota

Profile Details

NPI number 1063584563
LBN Legal business name Kelly, Jess Andrew
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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