Individual
DR. KENNETH DWAYNE PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD. PHD.
Contact information
Practice address
950 N MULBERRY ST, SUITE 250, ELIZABETHTOWN, KY 42701-3612
(270) 766-1300
(270) 763-1390
Mailing address
950 N MULBERRY ST, SUITE 250, ELIZABETHTOWN, KY 42701-3612
(270) 766-1300
(270) 763-1390
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6606
KY
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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