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Organization
KELLY MOORE MEADOR, DMD PLLC
Active
Organization
KELLY MOORE MEADOR, DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY SUZANN MOORE MEADOR DMD (DENTIST)
(859) 322-4060
Entity
Organization
Contact information
Practice address
5150 TAYLOR MILL RD, TAYLOR MILL, KY 41015-2158
(859) 491-3411
(859) 491-3417
Mailing address
5150 TAYLOR MILL RD, TAYLOR MILL, KY 41015-2158
(859) 491-3411
(859) 491-3417
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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