Individual
DR. CARSON KEALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
140 HUBBARD RD, WINCHESTER, KY 40391-2412
(859) 744-0200
Mailing address
140 HUBBARD RD, WINCHESTER, KY 40391-2412
(859) 744-0200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9453
KY
Other
Enumeration date
05/30/2014
Last updated
05/30/2014
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