Individual
KIMBERLY ROBERTS BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1303 W LEXINGTON AVE, STE A, WINCHESTER, KY 40391-3100
(859) 745-4455
(859) 745-4466
Mailing address
1303 W LEXINGTON AVE, STE A, WINCHESTER, KY 40391-3100
(859) 745-4455
(859) 745-4466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9358
KY
122300000X
Dentist
DGD.8267 GD
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100332580
—
KY
Enumeration date
07/24/2013
Last updated
01/18/2017
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