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Organization

KEATON ORTHODONTICS, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDY PAUL KEATON DMD MS (PRESIDENT OWNER)
(606) 432-8165
Entity
Organization

Contact information

Practice address
384 NORTH MAYO TRAIL, UNIT A, PIKEVILLE, KY 41501
(606) 432-8165
(606) 437-1085
Mailing address
PO BOX 989, PIKEVILLE, KY 41502-0989
(606) 432-8165
(606) 437-1085

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60064805
KY
Enumeration date
02/27/2007
Last updated
11/08/2013
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