KELLY GOODPASTER WARREN

LEXINGTON, KY
NPI1104235233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: KY  10353)
Enumeration Date2014-08-01
Last Update Date2019-08-14
Business Address
Dr. KELLY GOODPASTER WARREN DMD
535 WELLINGTON WAY STE 120
LEXINGTON, KY 40503-1387
Phone number: 859-630-1315
Mailing Address
Dr. KELLY GOODPASTER WARREN DMD
416 RIDGEWAY RD
LEXINGTON, KY 40502-2344
Phone number: 859-630-1315