EDP OF KENTUCKY PC

HENDERSON, KY
NPI1508367665
Entity TypeOrganization
Authorized ContactROSEANNE BRUNENKANT
Director Of Integrations
312-937-3619
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2018-02-23
Last Update Date2019-09-16
Business Address
EDP OF KENTUCKY PC
342 STARLITE DR
HENDERSON, KY 42420-6102
Phone number: 270-826-1414
Mailing Address
EDP OF KENTUCKY PC
141 W JACKSON BLVD STE 210
CHICAGO, IL 60604-3048
Phone number: 312-800-1270