Individual
EMILY BAUSCH BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
316 W 2ND ST, MOREHEAD, KY 40351-1550
(606) 783-7701
(606) 783-6847
Mailing address
316 W 2ND ST, MOREHEAD, KY 40351-1550
(606) 783-7701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9310
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100248160
—
KY
01
—
9310
LICENSE NUMBER
KY
Enumeration date
06/04/2013
Last updated
11/30/2022
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