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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROBERT EV KELLEY III, D.M.D., M.S.

Active Sole Proprietor

DR. ROBERT EV KELLEY III, D.M.D., M.S. is a Periodontology healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1225871254 is currently active in the NPPES registry. Verify at CMS.

Periodontology · SAINT AUGUSTINE, FL

Registration Details

NPI Number
1225871254
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2024 (2.1340144494017 yrs)
Last Updated
Jun 17, 2024
License
26370 (FL)
Sole Proprietor
Yes

Practice Information

Address
10 SAINT JOHNS MEDICAL PARK DR STE C
SAINT AUGUSTINE, FL, 320865202
Browse FL providers · Browse ZIP 32086
Phone
9044675507
Primary Specialty
Periodontology
1223P0300X
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.