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

Dr. Kenneth Raymond Kelly, DDS

Individual provider Dentist · NPI 1396914990

Dr. Kenneth Raymond Kelly, DDS is a Dentist in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.

Licensed in
TN
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS2230 (TN)

Record details

NPI number1396914990
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 27, 2008
Last updated in NPPESFebruary 27, 2008

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