Khadijah Kelly, DDS Valid NPI

Individual provider · General Practice Dentistry · Rock Hill, SC

NPI

1730868902

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

10961 (SC)

Sex

Female

Sole proprietor

No

Enumerated

2023-07-14

Last updated

2025-03-31