Individual
DR. KRISTIN R COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
(502) 371-9067
Mailing address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
(502) 371-9067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9086
TN
1223G0001X
General Practice Dentistry
Primary
8561
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100040540
—
KY
01
—
K119630
MEDICARE
KY
Enumeration date
03/17/2008
Last updated
09/09/2015
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