Active NPI
Kelsey Duff PLLC
- Pediatric Dentistry
- Lawrenceburg, KY
National Provider Identifier
1346992179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- KELSEY DUFF PLLC
- Practice address
- 1005 Parkview CT
Lawrenceburg, KY 40342-1579 - Phone
- (502) 600-4360
- Fax
- (502) 600-4390
- NPI assigned
- Jan 23, 2022
- Organization subpart
- Yes
- Parent organization
- KELSEY DUFF PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelsey Barbato Duff, DMD
- Title
- President
- Phone
- (502) 600-4360
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
1005 Parkview CT
Lawrenceburg, KY 40342-1579
Mailing address
2092 Fallon Rd
Lexington, KY 40504-3008
Phone (859) 516-1153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100560010 | Medicaid | KY |
Other names 1
- Brush Kids Dentistry
National Provider Directory
National Provider Directory- Part of
- Kelsey Duff PLLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Lexington, KY
- NPI 1508228727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642896000000",
"number": "1346992179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2092 FALLON RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043008",
"telephone_number": "859-516-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 PARKVIEW CT",
"city": "LAWRENCEBURG",
"state": "KY",
"postal_code": "403421579",
"telephone_number": "502-600-4360",
"fax_number": "502-600-4390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELSEY DUFF PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KELSEY DUFF PLLC",
"enumeration_date": "2022-01-23",
"last_updated": "2022-01-23",
"certification_date": "2022-01-23",
"status": "A",
"authorized_official_last_name": "DUFF",
"authorized_official_first_name": "KELSEY",
"authorized_official_middle_name": "BARBATO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-600-4360",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100560010",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brush Kids Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lawrenceburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.