Provider Demographics
NPI:1952170839
Name:DR. CLARENCE S KEY DMD
Entity Type:Organization
Organization Name:DR. CLARENCE S KEY DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-968-6615
Mailing Address - Street 1:9413 SMYRNA PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-1419
Mailing Address - Country:US
Mailing Address - Phone:502-968-6615
Mailing Address - Fax:
Practice Address - Street 1:9413 SMYRNA PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-1419
Practice Address - Country:US
Practice Address - Phone:502-968-6615
Practice Address - Fax:502-968-9891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental