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Individual

DR. BILLY KEVIN CLEMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1042 FAIRVIEW AVE, SUITE C, BOWLING GREEN, KY 42103-1677
(270) 746-5880
(270) 746-5944
Mailing address
1099 DENHAM RD, SMITHS GROVE, KY 42171-7261
(270) 597-2643
(270) 746-5944

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6013
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60060134
KY
Enumeration date
01/04/2007
Last updated
06/15/2015
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