Kimberly Ann Arnold, D.M.D.

Individual provider Active NPI General Practice Dentistry · Catlettsburg, KY

NPI 1487798450 · NPPES record last updated Feb 25, 2010

Key facts

NPI
1487798450
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6799 (KY)
Practice address
3161 Oakland Ave
Catlettsburg, KY 41129-1155
Phone
(606) 739-5151
Fax
(606) 739-4301
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

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 IDStateProvider typePAC IDDetails
I20150714001963 KY Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
4284947698

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6799 KY Yes

Addresses

Primary practice location

3161 Oakland Ave
Catlettsburg, KY 41129-1155

Mailing address

PO Box 356
Catlettsburg, KY 41129-0356
Phone (606) 739-5151

Other identifiers

IdentifierTypeStateIssuer
4055956OtherBCBS ID
537849OtherUNITED CONCORDIA ID

Other providers in Catlettsburg, KY

All providers in Catlettsburg, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.