| NPI | 1720096951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY EARLE KELLY Owner/Dentist 502-937-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: KY 7964) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2017-10-13 |