| NPI | 1578801072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK L. KEESEE Owner 502-348-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 7247) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 7470) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-22 |