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DR. KELLY SUSAN KENNAN DDS
NPI 1295778454
Dentist - General Practice in Salisbury, MD

Active since June 14, 2006PECOS Enrolled
1322 BELMONT AVE SUITE 204, SALISBURY, MD 21804(410) 742-4339(410) 742-4388 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Susan Kennan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY SUSAN KENNAN DDS (NPI 1295778454) is an individual general practice provider in Salisbury, Maryland, licensed in Maryland (12599) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295778454
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY SUSAN KENNANCredential: DDS
Location Address1322 BELMONT AVE SUITE 204Salisbury, MD 21804
Mailing Address1322 Belmont Ave Suite 204Salisbury, MD 21804 · (410) 742-4339 · Fax (410) 742-4388
Phone(410) 742-4339
Fax(410) 742-4388
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 18, 2019
✔ NPI 1295778454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 12599
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1322 BELMONT AVE SUITE 204, Salisbury, MD 21804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Susan Kennan Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Kennan's NPI number?

The NPI number for Kelly Kennan is 1295778454. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Kelly Kennan located?

Kelly Kennan practices at 1322 Belmont Ave Suite 204, Salisbury, MD 21804. The listed phone number is (410) 742-4339.

What is Kelly Kennan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kelly Kennan enrolled in Medicare?

Yes. Kelly Kennan is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Kennan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kelly Kennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Kennan was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.