Community Care of Kentucky Inc.

NPI #1407262181 in Benton, Kentucky

Provider Information

NPI Number
1407262181
Entity Type
Organization
Organization Name
Community Care of Kentucky Inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 2, 2014
Last Updated
Jul 18, 2014

Practice Location

Address
267 SLICKBACK RD
City
Benton
ZIP Code
42025-7629
Phone
(270) 527-1496

Authorized Official

Name
MRS. MARLEN WHITMORE, B.S.
Title
CREDENTIALING MANAGER
Phone
(256) 241-1698

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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