Tds Ky Five
NPI #1013532415 in Louisville, Kentucky
Provider Information
- NPI Number
- 1013532415
- Entity Type
- Organization
- Organization Name
- Tds Ky Five
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 11, 2020
- Last Updated
- Jun 11, 2020
Practice Location
- Address
- 156 THIERMAN LN
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40207-5010
- Phone
- (502) 896-2822
Authorized Official
- Name
- ADRIENNE NICHOLSON
- Title
- REGIONAL MANAGER
- Phone
- (812) 569-2955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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