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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255852661

Samantha Jo Kelly is a Student in an Organized Health Care Education/Training Program in Gallatin, Tennessee. Practices as a sole proprietor and works from 3 locations. Licensed in Indiana and Tennessee.

Licensed in
IN, TN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1710 Nashville Pike # 102
Gallatin, TN 37066
Phone: (615) 461-7491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 — (317) 944-3865
  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 — (317) 944-3865

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 10949 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence LDR170183 (IN)

Record details

NPI number1255852661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2017
Last updated in NPPESJuly 25, 2019

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