Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY B BOSWORTH, DDS 9311
ActiveMR. KELLY B BOSWORTH, DDS 9311 is a Dentist healthcare provider located in SHOREWOOD, Minnesota. NPI 1174615306 is currently active in the NPPES registry. Verify at CMS.
Dentist · SHOREWOOD, MN
Registration Details
- NPI Number
- 1174615306
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.698308662003 yrs)
- Last Updated
- Jul 8, 2007
- License
-
9311 (MN)
Practice Information
- Address
-
24000 HWY 7SUITE 120 KELLY BOSWORTH FAMILY DENTISTRYSHOREWOOD, MN, 55331Browse MN providers · Browse ZIP 55331
- Phone
- 9524744123
- Fax
- 9524013482
- 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.