IndividualActive
Allyson Kelly, DDS
NPI 1104235159 · Dentist · Fort Campbell, KY
Provider details
- NPI number
- 1104235159
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 9089502-9921 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2441 21st St
Fort Campbell, KY 42223-5582
Phone: (270) 798-8314
Fax: (270) 798-8633
Approximate (ZIP-level) locationGet directions
Mailing address
2441 21st St
Fort Campbell, KY 42223-5582
Registry dates
- Enumerated
- 2014-08-04
- Last updated
- 2019-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.