Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY W LUCAS, DDS
ActiveMR. KELLY W LUCAS, DDS is a Dentist healthcare provider located in NAKNEK, Alaska. NPI 1023239902 is currently active in the NPPES registry. Verify at CMS.
Dentist · NAKNEK, AK
Registration Details
- NPI Number
- 1023239902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.268360492618 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AA673 (AK)
Practice Information
- Address
-
2 SCHOOL HOUSE RDNAKNEK, AK, 99633Browse AK providers · Browse ZIP 99633
- Phone
- 9073575214
- Fax
- 9073575213
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.