Individual
DR. JULIETTE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536
(859) 323-6261
Mailing address
800 ROSE ST, D104, LEXINGTON, KY 40536-2335
(859) 323-3368
(859) 257-5859
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5985
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60059854
—
KY
Enumeration date
12/29/2005
Last updated
10/07/2020
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