Individual
DR. JANEICE AISHA WOOTEN-KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4420 DIXIE HWY STE 110, LOUISVILLE, KY 40216-2986
(502) 447-3323
(913) 752-9116
Mailing address
2822 SHOEMAKER DR, LOUISVILLE, KY 40241-6501
(313) 204-4775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9887
KY
1223G0001X
General Practice Dentistry
Primary
9887
KY
Other
Enumeration date
07/11/2008
Last updated
01/29/2018
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