Individual
ELIZABETH KELTY MCLAURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1809 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1155
(859) 803-0708
Mailing address
1680 PARK RD, COVINGTON, KY 41011-2776
(601) 613-7259
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9655
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2015
Last updated
05/01/2019
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