Kentuckiana Peds Dre LLC
NPI #1093580219 in Mt Washington, Kentucky
Provider Information
- NPI Number
- 1093580219
- Entity Type
- Organization
- Organization Name
- Kentuckiana Peds Dre LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Nov 17, 2023
- Last Updated
- Nov 17, 2023
Practice Location
- Address
- 211 HIGH POINT CT STE 200
- City
- Mt Washington
- State
- Kentucky
- ZIP Code
- 40047-5528
- Phone
- (502) 538-2400
Authorized Official
- Name
- ELIZABETH DAVIS
- Title
- DIRECTOR OF REVENUE
- Phone
- (859) 533-1109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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|---|---|
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