Sue B Feeley, DDS
Individual provider Active NPI General Practice Dentistry · Crestwood, KY
NPI 1326250960 · NPPES record last updated Aug 17, 2012
Key facts
- NPI
- 1326250960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5959 (KY)
- Practice address
- 6225 W Hwy 146
Crestwood, KY 40014 - Phone
- (502) 241-8208
- Fax
- (502) 241-2428
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525001319 | KY | Order and Referring Only - Dentist |
7113101965 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5959 | KY | Yes |
Addresses
Primary practice location
6225 W Hwy 146
Crestwood, KY 40014
Mailing address
PO Box 1094
6225 W Hwy 146
Crestwood, KY 40014
Phone (502) 241-8208
Other providers in Crestwood, KY
- Anne Ely
- Embrace Dental Care Crestwood
- Lindsey W Engel
- Engilman Orthodontics
- Family'S Choice Services
- Lauren Fineman
- Lawrence Edward Fleischer
- Allison Flick
- Amy Lynn Fowkes
- Amy S French
All providers in Crestwood, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.