KBD Kids Dre LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KBD KIDS DRE LLC

Practice address

1368 Highway 192 E
London, KY 40741-3123

Phone

(606) 864-6680

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Davis

Title

Director of Revenue

Phone

(859) 533-1109

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1720853948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SPRUCE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405072109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 HIGHWAY 192 E",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413123",
            "telephone_number": "606-864-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBD KIDS DRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "859-533-1109"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew T Jones, PT
• Katerina Joseph, APRN-CNP
• Ashu Tosh Joshi, M.D.
• Nosheen Joyo, M.D
• Shelby N Katz, M.D
• David L. Keedy, M.D.
• Angela Denise Kelley, OT
• Heather Kemper
• Kenney Orthopedics of London LLC (Hanger Clinic III)
• Kentucky Addiction Centers London

• Pediatric Dentistry in London, KY
• Providers in London, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.