KELLY MOORE MEADOR DMD PLLC NPI 1043090673

NPI Information

  • NPI: 1043090673
  • Provider Name: KELLY MOORE MEADOR, DMD PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 5150 TAYLOR MILL RD
    TAYLOR MILL, KY
    ZIP 41015
  • Phone: (859) 491-3411

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NPI Details

KELLY MOORE MEADOR, DMD PLLC is a dental clinic center in Taylor Mill, KY. KELLY MOORE MEADOR, DMD PLLC NPI is 1043090673. The provider is registered as an organization entity type.

The provider's business location address is:

5150 TAYLOR MILL RD
TAYLOR MILL, KY
ZIP 41015-158
Phone: (859) 491-3411
Fax: (859) 491-3417

The provider's authorized official is Kelly Suzann Moore Meador .
The authorized official title is Dentist and has the following contact phone number (859) 322-4060.

The enumeration date for this NPI number is 10/2/2023 and was last updated on 10/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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