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General NPI Number Information
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NPI Number | 1225540552
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Entity Type | Organization
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Legal Business Name | KENNETH A. BELL INC.
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 5524 BARDSTOWN RD
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City | LOUISVILLE
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State | KY
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Zip | 40291-1910
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Country | US
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Telephone | 502-491-9200
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Fax | 502-491-9146
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Provider Business Mailing Address
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Address Line | 5524 BARDSTOWN RD
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City | LOUISVILLE
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State | KY
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Zip | 40291-1910
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Country | US
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Telephone | 502-491-9200
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Fax | 502-491-9146
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH AUSTIN BELL
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Credential | DMD
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Telephone | 502-491-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9564
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6632
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License Number State | KY
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