Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY NICOLE WEST, DDS
ActiveDR. KELLY NICOLE WEST, DDS is a Endodontics healthcare provider located in GRAFTON, Wisconsin. NPI 1760582480 is currently active in the NPPES registry. Verify at CMS.
Endodontics · GRAFTON, WI
Registration Details
- NPI Number
- 1760582480
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2006 (19.899659504714 yrs)
- Last Updated
- Sep 23, 2015
- Licenses
-
2901018424 (MI)612915 (WI)
Practice Information
- Address
-
1245 CHEYENNE AVESUITE 104GRAFTON, WI, 53024Browse WI providers · Browse ZIP 53024
- Phone
- 2623772668
- Fax
- 2623772680
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
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.