Provider Demographics
NPI:1346400801
Name:KINCHEN, GRETCHEN EILEEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:EILEEN
Last Name:KINCHEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:989 GOVERNORS LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1173
Mailing Address - Country:US
Mailing Address - Phone:859-296-0296
Mailing Address - Fax:859-296-0232
Practice Address - Street 1:989 GOVERNORS LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1173
Practice Address - Country:US
Practice Address - Phone:859-296-0296
Practice Address - Fax:859-296-0232
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY86251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice