Kenneth W Livesay JR.
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1013 N Dupont Sq Ste B
Louisville
, Kentucky 40207-4612
Kenneth W Livesay JR.
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1013 N Dupont Sq Ste B
Louisville
, Kentucky 40207-4612
(502) 966-7148
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Kenneth W Livesay JR.
- 1013 N Dupont Sq Ste B
- Louisville, KY
- Zip : 40207-4612
- Fax : (502) 966-7148
- Phone : (502) 897-5282
Second Address
- Kenneth W Livesay JR.
- 1013 N Dupont Sq Ste B
- Louisville, KY
- Zip : 40207-4612
- Fax : (502) 896-6714
- Phone : (502) 897-5282
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8186 | KY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 8186 | KY |
National Provider Identifier
| NPI | 1558390724 |
|---|---|
| Provider Name | Kenneth W Livesay JR. |
| First Address | Louisville, KY 40207-4612 |
| Second Address | Louisville, KY 40207-4612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2006 |
| Last Update Date | 17/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64106420 | (05) | KY |
| U97307 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.