Kelly, Martin
Kelly, Martin is an individual health care provider with primary practice located at 2695 Flowood Dr Ste A , Flowood MS 39232-9358. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kelly, Martin can be contacted via phone (601) 939-4100.Contact Information
Primary practice address
2695 Flowood Dr Ste A
Flowood MS 39232-9358
Phone: (601) 939-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4274-22 | Mississippi |
Profile Details
| NPI number | 1295464709 |
|---|---|
| LBN Legal business name | Kelly, Martin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2022 |
| Last updated | Jun 9th, 2022 - about 3 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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