NPI 1003171497

Kelly Michael Huston, DDS

Practitioner General Practice Dentistry Ottumwa, IA

Practice location

Address: 415 E Main St, Ottumwa, IA 52501-3027
Phone: (641) 684-0215
Mailing address: 322 E Park Ave APT 2, Ottumwa, IA 52501-2069

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 08922 (IA)

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Registry record

NPI: 1003171497
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2012
Record last updated: 11 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.