Individual
DR. CAROLYN JENNINGS SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
209 HIGH POINT CT, SUITE 200, MOUNT WASHINGTON, KY 40047-6563
(502) 538-6555
(502) 538-0657
Mailing address
209 HIGH POINT CT, SUITE 200, MOUNT WASHINGTON, KY 40047-6563
(502) 538-6555
(502) 538-0657
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8324
KY
Other
Enumeration date
07/06/2006
Last updated
11/15/2011
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