Kelly C Klair, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17682 Issued in FL

Practice address

601 East University Blvd
Florida Dept of Health Brevard County
Melbourne, FL 32901

Phone

(321) 726-2920

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1205033222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EAST UNIVERSITY BLVD",
            "address_2": "FLORIDA DEPT OF HEALTH BREVARD COUNTY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-726-2920",
            "fax_number": "321-449-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EAST UNIVERSITY BLVD",
            "address_2": "FLORIDA DEPT OF HEALTH BREVARD COUNTY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-726-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAIR",
        "first_name": "KELLY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Kinker, OTR/L
• Kathryn Kinney, LCSW, BCBA
• Melissa Kinsey
• June Kirwin
• Lisa Kistler, PHARMD
• Amanda Klebeck, LDO
• Erika Klein
• Ana Rebecca Klenz, MD
• Robert Lee Klimkowski Jr., RBT
• Elizabeth Knapp, RN

• General Practice Dentistry in Melbourne, FL
• Providers in Melbourne, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.