Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth R. Kelly, D D S, PC

Organization General Practice Dentistry · NPI 1194734335

Kenneth R. Kelly, D D S, PC is a General Practice Dentistry in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

402 Princeton Rd Ste A
Johnson City, TN 37601-2057
Phone: (423) 283-4175
Fax: (423) 283-0443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS2230 (TN)

Record details

NPI number1194734335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Kelly — President/Practioner · (423) 283-4175
NPI enumeratedAugust 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address402 Princeton Rd, Suite A, Johnson City, TN 37601-2057

Other providers in Johnson City