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Contact Information

KELLEY A HURSH, DMD
UNIT 3690
APO, AE09126-3690
 Phone: 314-452-8340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KELLEY A HURSH · (Female)

NPI # 1609008648
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/10/2009
Last updated 02/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DS037967
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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