IndividualActive
Brian Kelley, DDS
NPI 1366423527 · Oral and Maxillofacial Surgery (Dentist) · Waukesha, WI
Provider details
- NPI number
- 1366423527
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 5197-015 (WI)
Mailing address
W230s4497 Milky Way Road
Waukesha, WI 53189
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.