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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KELLY GOODPASTER WARREN, DMD

Active Sole Proprietor

DR. KELLY GOODPASTER WARREN, DMD is a Dentist healthcare provider located in LEXINGTON, Kentucky. NPI 1104235233 is currently active in the NPPES registry. Verify at CMS.

Dentist · LEXINGTON, KY

Registration Details

NPI Number
1104235233
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2014 (12.013356501995 yrs)
Last Updated
Aug 14, 2019
License
10353 (KY)
Sole Proprietor
Yes

Practice Information

Address
535 WELLINGTON WAY STE 120
LEXINGTON, KY, 405031387
Browse KY providers · Browse ZIP 40503
Phone
8596301315
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LEXINGTON, KY

Name Credential NPI
DR. JOHN R CRAMER DDS MD 1609866102
DR. PAUL MARK FRAZIER DMD 1295709806
DR. JOHN J CULLER III DMD 1790744779
SHANNON SHACKLETTE KEMPER DMD 1366405839
DR. ADAM THOMPSON DMD 1245287226
DR. EDWIN F. STRUSS DMD 1730128562
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.