| Kelly Ann Underwood, DMD | |
|
130 Evergreen Rd, Suite 100, Louisville, KY 40243-1489 | |
| (502) 410-1710 | |
| (502) 245-5021 |
| Full Name | Kelly Ann Underwood |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 130 Evergreen Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457479818 | NPI | - | NPPES |
| 7100219740 | Other | KY | KY MEDICAID EPSDT |
| 7100219740 | Medicaid | KY | |
| 7100002330 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8450 (Kentucky) | Primary |
| 122300000X | Dentist | 8450 (Kentucky) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ann Underwood, DMD 130 Evergreen Rd, Suite 100, Louisville, KY 40243-1489 Ph: (502) 410-1710 | Kelly Ann Underwood, DMD 130 Evergreen Rd, Suite 100, Louisville, KY 40243-1489 Ph: (502) 410-1710 |
Mary Margaret Lee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6511 | |
Dr. Lan Tuyet Tran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10494 Westport Rd, Suite 107, Louisville, KY 40241 Phone: 502-365-9699 | |
Dr. Jeffrey Hedges, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2015 Herr Ln Ste D, Louisville, KY 40222 Phone: 502-767-7379 | |
Stephanie N Luckett, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-772-8160 Fax: 502-772-8108 | |
Dr. Niyati Kapadia, Dentist Medicare: Medicare Enrolled Practice Location: 401 E Chestnut St Unit 550, Louisville, KY 40202 Phone: 502-852-5401 | |
Dr. Scott Mcgee Taylor, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3801 S Hurstbourne Pkwy, Louisville, KY 40299 Phone: 502-709-9430 | |
Dr. Greg Cole Nunnally, D.MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3935 Dupont Cir, Louisville, KY 40207 Phone: 502-897-0141 |