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Dr. Kathleen A Kelly, DDS
General Practice Dentistry in Madison, Wisconsin
NPI 1467455147

Kathleen A Kelly is a General Practice Dentistry based in Madison, WI and is specialized in General Practice. Kathleen A Kelly practices in Madison, WI and has the professional credentials of DDS. The NPI Number for Kathleen A Kelly is 1467455147 and holds a License No. 5001920-015 (Wisconsin).

The current practice location address for Kathleen A Kelly is 44 E Mifflin St, Madison, WI and can be reached out via phone at 608-256-0499 and via fax at 608-256-0577.

Location: 44 E Mifflin St, Madison, WI, 53703-2895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467455147
Provider Name
Kathleen A Kelly
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
44 E Mifflin St, Madison, WI, 53703-2895
Phone Number
608-256-0499
Fax Number
608-256-0577
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33374700 05 WI
institution
Provider Business Practice Location Address Details
Address
44 E Mifflin St
City
Madison
State
Wisconsin
Zip
53703-2895
Phone Number
608-256-0499
Fax Number
608-256-0577
person
Provider Business Mailing Address Details
Address
44 E Mifflin St
City
Madison
State
Wisconsin
Zip
53703-2895
Phone Number
608-256-0499
Fax Number
608-256-0577
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5001920-015 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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