Provider Demographics
NPI:1508228727
Name:DUFF, KELSEY BARBATO (DMD)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:BARBATO
Last Name:DUFF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:ARIELLE
Other - Last Name:BARBATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1840 WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2061
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:216 FOUNTAIN CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2511
Practice Address - Country:US
Practice Address - Phone:859-516-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-26
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY97571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry