Kdg Kentucky 4 | |
105 Eminence Ter Eminence KY 40019-1145 | |
(812) 523-1860 | |
Not Available |
Full Name | Kdg Kentucky 4 |
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Speciality | Clinic/center - Dental |
Location | 105 Eminence Ter, Eminence, Kentucky |
Authorized Official Name and Position | Adirnne Nicholson (OFFICE MANAGER) |
Authorized Official Contact | 8125231860 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kdg Kentucky 4 105 Eminence Ter Eminence KY 40019-1145 Ph: () - | Kdg Kentucky 4 105 Eminence Ter Eminence KY 40019-1145 Ph: (812) 523-1860 |
NPI Number | 1295226496 |
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Provider Enumeration Date | 05/23/2018 |
Last Update Date | 05/23/2018 |
Identifier | Type | State | Issuer |
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1295226496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |