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General NPI Number Information
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NPI Number | 1235016320
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Entity Type | Individual
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Provider Name | COLTON JAMES KELLY DDS
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Gender | Male
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1325 S KIHEI RD STE 102B
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City | KIHEI
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State | HI
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Zip | 96753-8145
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Country | US
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Telephone | 808-879-6346
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 598
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City | WAILUKU
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State | HI
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Zip | 96793-0598
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Country | US
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Telephone | 803-719-7196
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DT-3257
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License Number State | HI
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