OrganizationActive
Edp of Kentucky PC
NPI 1508367665 · Dental Clinic/Center · Henderson, KY
Provider details
- NPI number
- 1508367665
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Edp of Kentucky PC
- Authorized official
- Roseanne Brunenkant, Director of Integrations
Mailing address
141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048
Registry dates
- Enumerated
- 2018-02-23
- Last updated
- 2019-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.