# LIVEWELL GASTROENTEROLOGY, PLLC

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

## Provider details

- **NPI number:** 1861151268
- **Authorized official:** DR. AMY J DICHIARA MD (MANAGING MEMBER/ PRESIDENT)
- **Authorized official phone:** (859) 363-5515

## Contact information

- **Practice address:** 23 TAFT HWY STE B, DRY RIDGE, KY 41035-8121
- **Practice address phone:** (859) 363-5515
- **Practice address fax:** (859) 545-5074
- **Mailing address:** PO BOX 739, UNION, KY 41091-0739
- **Mailing address phone:** (859) 363-5515
- **Mailing address fax:** (859) 545-5074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2021
- **Last updated:** 12/13/2021