DR. Kelly Goodpaster Warren, DMD

NPI #1104235233 in Lexington, Kentucky

Provider Information

NPI Number
1104235233
Entity Type
Individual
Name
DR. Kelly Goodpaster Warren, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Aug 1, 2014
Last Updated
Aug 14, 2019

Practice Location

Address
535 WELLINGTON WAY STE 120
ZIP Code
40503-1387
Phone
(859) 630-1315

Specialties & Taxonomy Codes

Specialty
Dentist

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