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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164928560

Kelly Elizabeth Fennelly, DMD is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Syracuse, NY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164928560
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 4, 2018
Last updated in NPPESApril 4, 2018

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