Kenneth W Livesay in Louisville - Oral And Maxillofacial Surgery
Kenneth W Livesay - NPI 1558390724
Kenneth W Livesay is a Oral And Maxillofacial Surgery in Louisville, Kentucky. Kenneth W Livesay practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kenneth W Livesay is 1558390724. The last update date is 2019-09-17.
Kenneth W Livesay's current location address is 1013 N Dupont Sq Ste B, Louisville, Kentucky. You can contact this provider via phone number 5028975282 and fax number 5029667148. The mailing address for Kenneth W Livesay is 1013 N Dupont Sq Ste B, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth W Livesay |
|---|---|
| Address | 1013 N Dupont Sq Ste B, Louisville, Kentucky |
| Phone Number | 5028975282 |
| Fax Number | 5029667148 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1558390724 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2019-09-17 |
Provider Mailing Address Detail
| Address | 1013 N Dupont Sq Ste B |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402074612 |
| Phone Number | 5028975282 |
| Fax Number | 5029667148 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 8186 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64106420 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth W Livesay by the Centers for Medicare & Medicaid Services?
The Kenneth W Livesay has been assigned the NPI (National Provider Identifier) 1558390724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kenneth W Livesay located?
The Kenneth W Livesay is located at 1013 N Dupont Sq Ste B, Louisville, KY 402074612.
What is Kenneth W Livesay's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth W Livesay is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did Kenneth W Livesay receive its 1558390724 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth W Livesay was assigned its 1558390724 on 2006-07-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kenneth W Livesay most recently updated or revised?
The information pertaining to Kenneth W Livesay, including its address, specialty, and other relevant details, was last updated or revised on 2019-09-17.
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