Individual
DR. KIRBY CHAMBERS HOETKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
141 STONECREST RD, SHELBYVILLE, KY 40065-8164
(502) 633-4441
(502) 633-4470
Mailing address
141 STONECREST RD, SHELBYVILLE, KY 40065-8164
(502) 633-4441
(502) 633-4470
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7601
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421536088
TAX ID
KY
05
—
60001377
—
KY
01
—
7601
DENTAL LICENSE #
KY
Enumeration date
08/15/2005
Last updated
03/26/2014
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