NPI 1871338954

John Kelley

Practitioner Dental Laboratory Technician Polson, MT

Practice location

Address: 38994 Dusty Ln, Polson, MT 59860-8773
Phone: (406) 883-6247

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X

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Registry record

NPI: 1871338954
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2024
Record last updated: 28 Jun 2024

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.