Provider Demographics
NPI:1407204324
Name:FOLEY, KRISTEN (DMD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:FOLEY
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 1:311 RADIO PARK DR STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2399
Mailing Address - Country:US
Mailing Address - Phone:859-623-3818
Mailing Address - Fax:
Practice Address - Street 1:311 RADIO PARK DR STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2399
Practice Address - Country:US
Practice Address - Phone:859-623-3818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY97461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice