Individual
DON CHARLES KEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2410 W MARKET ST, LOUISVILLE, KY 40212-1539
(502) 778-5141
Mailing address
2410 W MARKET ST, LOUISVILLE, KY 40212-1539
(502) 778-5141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6182
KY
1223G0001X
General Practice Dentistry
6182
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061827
—
KY
Enumeration date
07/11/2008
Last updated
07/11/2008
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