Kelly, Kenitra
Kelly, Kenitra is an individual health care provider with primary practice located at 2943 Traverse Trl , The Villages FL 32163-2017. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kelly, Kenitra can be contacted via phone (352) 877-2461.Contact Information
Primary practice address
2943 Traverse Trl
The Villages FL 32163-2017
Phone: (352) 877-2461
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DN21192 | Florida |
Profile Details
NPI number | 1861872988 |
---|---|
LBN Legal business name | Kelly, Kenitra |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2015 |
Last updated | Jun 3rd, 2015 - 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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