Dr. Kelli M. Dorsey
Dental Public Health
4414 N Florissant Ave
Saint Louis
, Missouri 63107-1812
Dr. Kelli M. Dorsey
Dental Public Health
4414 N Florissant Ave
Saint Louis
, Missouri 63107-1812
(314) 814-8542
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Kelli M. Dorsey
- Po Box 551
- Saint Louis, MO
- Zip : 63188-0551
- Fax : (314) 814-8542
- Phone : (314) 898-1700
Second Address
- Dr. Kelli M. Dorsey
- 4414 N Florissant Ave
- Saint Louis, MO
- Zip : 63107-1812
- Fax : (314) 814-8542
- Phone : (314) 898-1700
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FAQs
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Is Dr. Kelli M. Dorsey a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 2013025458 | MO |
National Provider Identifier
| NPI | 1528320447 |
|---|---|
| Provider Name | Dr. Kelli M. Dorsey |
| First Address | Saint Louis, MO 63188-0551 |
| Second Address | Saint Louis, MO 63107-1812 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2012 |
| Last Update Date | 03/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2013025458 | LICENSE (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.