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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