Individual
KARISSE JOSELLE SEEGOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6344 W KY HWY 146, SUITE 100, CRESTWOOD, KY 40014
(502) 241-4121
Mailing address
25 AGIN WAY, MILTON, KY 40045-1509
(502) 268-3192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10665
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10665
KY LICENSE
KY
01
—
60320595
DENTPIN
—
Enumeration date
06/07/2021
Last updated
02/18/2025
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