Kelly Ann Underwood in Louisville - Dentist
Kelly Ann Underwood - NPI 1457479818
Kelly Ann Underwood is a Dentist in Louisville, Kentucky. Kelly Ann Underwood practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kelly Ann Underwood is 1457479818. The last update date is 2013-10-23.
Kelly Ann Underwood's current location address is 130 Evergreen Rd, Louisville, Kentucky. You can contact this provider via phone number 5024101710 and fax number 5022455021. The mailing address for Kelly Ann Underwood is 130 Evergreen Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Ann Underwood |
|---|---|
| Address | 130 Evergreen Rd, Louisville, Kentucky |
| Phone Number | 5024101710 |
| Fax Number | 5022455021 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1457479818 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2013-10-23 |
Provider Mailing Address Detail
| Address | 130 Evergreen Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402431489 |
| Phone Number | 5024101710 |
| Fax Number | 5022455021 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8450 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100219740 | KY | KY MEDICAID EPSDT | |
| 7100219740 | KY | -- | |
| 7100002330 | KY | -- |
Post Comment/ Review Below
What is the Kelly Ann Underwood's 1457479818?
The Kelly Ann Underwood's NPI (National Provider Identifier) Number is 1457479818. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kelly Ann Underwood is geographically located?
The Kelly Ann Underwood is physically situated at the following location: 130 Evergreen Rd, Louisville, KY, 402431489.
What is the area of specialization for Kelly Ann Underwood, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Ann Underwood is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date was the 1457479818 assigned to Kelly Ann Underwood?
The Kelly Ann Underwood was issued its 1457479818 on 2007-03-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kelly Ann Underwood most recently updated or refreshed?
The details pertaining to the Kelly Ann Underwood, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-23.