Individual
ALLISON WALTER BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
104 LEGACY DR, BEREA, KY 40403-9594
(859) 986-2323
(859) 986-7728
Mailing address
1010 MAIN ST S, MC KEE, KY 40447-7089
(859) 626-7700
(859) 626-7890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9514
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2014
Last updated
07/13/2015
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