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

DR. KELSEY DIANE JOHNSON, D.M.D.

Active

DR. KELSEY DIANE JOHNSON, D.M.D. is a Dentist healthcare provider located in BEAVER DAM, Kentucky. NPI 1891179966 is currently active in the NPPES registry. Verify at CMS.

Dentist · BEAVER DAM, KY

Registration Details

NPI Number
1891179966
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2015 (10.891602765985 yrs)
Last Updated
May 17, 2019
Licenses
9595 (KY)
9595 (KY)

Practice Information

Address
1317 N MAIN ST
BEAVER DAM, KY, 423208957
Browse KY providers · Browse ZIP 42320
Phone
2702745121
Fax
2702745122
Primary Specialty
Dentist
122300000X
Additional Specialty
General Dentistry
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.