Provider Demographics
NPI:1295501773
Name:KARE PROFESSIONAL LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:KARE PROFESSIONAL LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KWANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-523-2347
Mailing Address - Street 1:7340 NOLENSVILLE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-1667
Mailing Address - Country:US
Mailing Address - Phone:502-523-2347
Mailing Address - Fax:
Practice Address - Street 1:7340 NOLENSVILLE RD STE 102
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-1667
Practice Address - Country:US
Practice Address - Phone:502-523-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice