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KIMBERLY KELLY
NPI 1780328427
Dental Hygienist in Elkhart, IN

Active since April 27, 2022
1400 HUDSON ST, ELKHART, IN 46516(574) 522-6702 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Kelly NPPES

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

KIMBERLY KELLY (NPI 1780328427) is an individual dental hygienist in Elkhart, Indiana, licensed in Indiana (13003438A) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1780328427
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameKIMBERLY KELLY
Location Address1400 HUDSON STElkhart, IN 46516-2023
Mailing Address29377 Sommerwood CtElkhart, IN 46517-8689 · (574) 304-9396
Phone(574) 522-6702
Sole ProprietorNo
Enumeration DateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1780328427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in IN · 13003438A
Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

1400 HUDSON ST, Elkhart, IN 46516
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTHA LIECHTY CONRAD M.S.W.
Case Manager/Care Coordinator
1400 HUDSON ST
ELKHART, IN 46516
Elkhart County (574) 522-0104
GEORGIA P GLAZE LSW
Case Manager/Care Coordinator
1400 HUDSON ST
ELKHART, IN 46516
Elkhart County (574) 522-0104
JENNIFER ANN LEIBY B.A.
Case Manager/Care Coordinator
1400 HUDSON ST
ELKHART, IN 46516
Elkhart County (574) 522-0104
AMY KRISTINE WILLIAMS BSW
Case Manager/Care Coordinator
1400 HUDSON ST
ELKHART, IN 46516
Elkhart County (574) 522-0104
KELLY L WADE B.A.
Case Manager/Care Coordinator
1400 HUDSON ST
ELKHART, IN 46516
Elkhart County (574) 522-0104
MRS. JULIE D HOCHSTETLER LSW
Case Manager/Care Coordinator
1400 HUDSON ST
ELKHART, IN 46516
Elkhart County (574) 522-0104
MRS. EUGENIA KAY BAUER BA
Case Manager/Care Coordinator
1400 HUDSON ST
ELKHART, IN 46516
Elkhart County (574) 522-0104
DIANE J UNSICKER RN
Case Manager/Care Coordinator
1400 HUDSON ST
ELKHART, IN 46516
Elkhart County (574) 522-0104

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 Kimberly Kelly's NPI number?

The NPI number for Kimberly Kelly is 1780328427. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Where is Kimberly Kelly located?

Kimberly Kelly practices at 1400 Hudson St, Elkhart, IN 46516. The listed phone number is (574) 522-6702.

What is Kimberly Kelly's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Kelly was last updated on April 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.