Most Relevant Information
Provider Data
| NPI Number: | 1003228602 |
| Provider Name: | CARSON KEALLY D.M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 9453 |
Most Important Dates
| Enumeration Date: | 05/30/2014 |
| Last Updated: | 05/30/2014 |
Provider Practice Location
140 HUBBARD RD
WINCHESTER
KY
403912412
Practice Location Phone/Fax
| Phone: | 8597440200 |
| Fax: |
Provider Mailing Location
140 HUBBARD RD
WINCHESTER
KY
403912412
Provider Mailing Phone/Fax
| Phone: | 8597440200 |
| Fax: |