Individual
RUTH POWDERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
948 MALLARD CREEK RD, LOUISVILLE, KY 40207-5490
(304) 615-1686
Mailing address
948 MALLARD CREEK RD, LOUISVILLE, KY 40207-5490
(304) 615-1686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9437
KY
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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