Individual
DR. ANDY PAUL KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
384 N MAYO TRL, UNIT A, PIKEVILLE, KY 41501-1493
(606) 432-8165
(606) 437-1085
Mailing address
PO BOX 989, PIKEVILLE, KY 41502
(606) 432-8165
(606) 437-1085
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6480
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60064805
—
KY
Enumeration date
02/13/2007
Last updated
10/30/2014
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