Individual provider · Type 1 NPI

Mark T. Kelly

General Practice Dentistry · Oklahoma City, OK

NPI number 1578656393 Active

About NPI 1578656393

Mark T. Kelly's National Provider Identifier is 1578656393, issued on Oct 2, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 9, 2007.