Robert Ev Kelley III, D.M.D., M.S.

Periodontics · Saint Augustine, FL

Individual Active NPI

NPI number 1225871254

Practice location

10 Saint Johns Medical Park Dr Ste C
Saint Augustine, FL 32086-5202
Phone
(904) 467-5507

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NPI record

NPI
1225871254
Entity type
Individual (Type 1)
Enumeration date
June 17, 2024
Last updated
June 17, 2024
Certified
April 10, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 26370 FL

About Dr. Kelley

Robert Ev Kelley III, D.M.D., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 10 Saint Johns Medical Park Dr Ste C, Saint Augustine, FL 32086-5202. The NPI number 1225871254 was assigned on June 17, 2024 and the record was last updated on June 17, 2024.

Dr. Kelley lists a license in the registry: #26370 (FL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Ev Kelley III, D.M.D., M.S.?

The NPI number is 1225871254.

What is the phone number of Dr. Kelley?

The phone number listed for the practice location is (904) 467-5507.

Where is Dr. Kelley located?

10 Saint Johns Medical Park Dr Ste C, Saint Augustine, FL 32086-5202.

What is the taxonomy code for Dr. Kelley?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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