What is Kenneth Kelly's NPI number?

Kenneth Kelly's National Provider Identifier (NPI) is 1396914990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Kelly's specialty?

Kenneth Kelly is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Kenneth Kelly located?

Kenneth Kelly's practice location on file with NPPES is 402 Princeton Rd, Johnson City, TN 37601-2057.

What is Kenneth Kelly's phone number?

The practice phone number listed in the NPPES registry for Kenneth Kelly is (423) 283-4175.

Is Kenneth Kelly's NPI active?

Yes — Kenneth Kelly's NPI (1396914990) is active in the NPPES registry as of the last update on 2008-02-27.

IndividualActive

Kenneth Kelly, DDS

NPI 1396914990 · Dentist · Johnson City, TN

Kenneth Kelly, DDS is a Dentist provider in Johnson City, TN (NPI 1396914990).

Provider details

NPI number: 1396914990
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: DS2230 (TN)

Specialties & taxonomies

DentistPrimary122300000XLicense DS2230 (TN)
Dental Providers

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

402 Princeton Rd

Suite a

Johnson City, TN 37601-2057

Phone: (423) 283-4175

Street-level locationGet directions

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Mailing address