Individual
KELSEY FAULKNER KORB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 S LIMESTONE A219, LEXINGTON, KY 40536-0284
(859) 323-6723
Mailing address
740 S LIMESTONE A219, LEXINGTON, KY 40536-0284
(859) 323-6723
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11808
TN
Other
Enumeration date
03/25/2020
Last updated
09/06/2022
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