Individual
DR. NELLY ELWANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
740 S LIMESTONE STE A241, LEXINGTON, KY 40536-0293
(859) 323-5562
(859) 323-2036
Mailing address
740 S LIMESTONE ROOM A262, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10411
KY
1223G0001X
General Practice Dentistry
Primary
10411
KY
390200000X
Student in an Organized Health Care Education/Training Program
10411
KY
Other
Enumeration date
03/28/2020
Last updated
09/02/2022
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