Search › Kentucky › 1223S0112X
Kenneth Livesay, DMD
NPI 1558390724 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1013 N Dupont Sq Ste B
Louisville, KY 40207 - Phone
- (502) 897-5282
- Fax
- (502) 896-6714
- Organisation at this address
- East Louisville Oral Surgery And Dental Implants Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 300 Middletown Park Pl Ste A, Louisville, KY
- 4181 New Shepherdsville Rd, Bardstown, KY
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 204E00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky