Organization
NKY2 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA GRAMMER (OM)
(502) 319-3854
Entity
Organization
Contact information
Practice address
1463 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2453
(859) 781-4000
Mailing address
1463 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2453
(859) 781-4000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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