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

KENNETH W LIVESAY JR., DMD

Active Sole Proprietor

KENNETH W LIVESAY JR., DMD is a Oral & Maxillofacial Surgery healthcare provider located in LOUISVILLE, Kentucky. NPI 1558390724 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · LOUISVILLE, KY

Registration Details

NPI Number
1558390724
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2006 (20.161527958279 yrs)
Last Updated
Sep 17, 2019
Licenses
8186 (KY)
8186 (KY)
Sole Proprietor
Yes

Practice Information

Address
1013 N DUPONT SQ STE B
LOUISVILLE, KY, 402074612
Browse KY providers · Browse ZIP 40207
Phone
5028975282
Fax
5028966714
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in LOUISVILLE, KY

Name Credential NPI
RICHARD A PAPE DMD MS 1053312066
WILLIAM M EPSTEIN DMD 1336140862
THEODORE E LOGAN JR. DMD 1245231778
JULIE M HARRIS DMD 1154322683
DR. NATHAN FREDERICK WALTERS DMD 1265424907
DR. CHRISTOPHER C BABCOCK DMD MD 1487646139
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.