NPI 1023781101

Olivia Breonna Kelly, DDS

Practitioner General Practice Dentistry Amarillo, TX

Practice location

Address: 3113 Ross St, Amarillo, TX 79103-2700
Phone: (806) 374-7341
Fax: (806) 322-0533

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 37631 (TX)

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Registry record

NPI: 1023781101
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2021
Record last updated: 8 Feb 2023

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.