National Provider Identifier
Kerry Lyn Kelly, DDS
Kerry Lyn Kelly, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Sodus, NY and a listed phone number of (315) 483-1199.
Profile Overview
- NPI
- 1306224142
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- May 13, 2015
- Last Updated
- October 13, 2016
Practice Location
- 6692 Middle RD
- Suite 2100
- Sodus, NY 14551-9602
Phone: (315) 483-1199
Mailing Address
- 14 Maiden Ln
- PO Box 423
- Penn Yan, NY 14527-1208
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1306224142
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Kerry
- Middle Name
- Lyn
- Name Prefix
- Miss
- Credential
- DDS
- Mailing Street Address
- 14 Maiden Ln
- Mailing Address Line 2
- PO Box 423
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1208
- Mailing Country
- US
- Mailing Phone
- (315) 531-9102
- Mailing Fax
- (315) 531-9103
- Practice Street Address
- 6692 Middle RD
- Practice Address Line 2
- Suite 2100
- Practice City
- Sodus
- Practice State
- NY
- Practice ZIP Code
- 14551-9602
- Practice Country
- US
- Practice Phone
- (315) 483-1199
- Practice Fax
- (315) 483-2451
- Enumeration Date
- May 13, 2015
- Last Updated
- October 13, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 058846 (NY, License)