# NKY2 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265301360
- **Authorized official:** MS. LISA GRAMMER (OM)
- **Authorized official phone:** (502) 319-3854

## Contact information

- **Practice address:** 1463 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2453
- **Practice address phone:** (859) 781-4000
- **Mailing address:** 1463 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2453
- **Mailing address phone:** (859) 781-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 11/05/2025