Kelly Ann Underwood is a Louisville, Kentucky based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kelly Ann Underwood is
8450 for General Practice Dentistry in Kentucky. Her current practice location is
130 Evergreen Rd, Suite 100, Louisville. Patients can reach her at
502-410-1710.
Kelly Ann Underwood is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kelly Ann Underwood speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kelly Ann Underwood |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 130 Evergreen Rd, Suite 100, Louisville,
Kentucky, 40243-1489 |
| Phone: | 502-410-1710 |
| Fax: | 502-245-5021 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1457479818 |
| NPI Enumeration Date: | 26 Mar, 2007 |
| NPI Last Update On: | 23 Oct, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Ann Underwood are as mentioned below.
| License Number | Specialization | State | Status | |
| 8450 | General Practice Dentistry | Kentucky | Primary | |
| 8450 | Dentistry | Kentucky | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Ann Underwood such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7100219740 | Other | Kentucky | KY MEDICAID EPSDT |
| 7100219740 | Medicaid | Kentucky | |
| 7100002330 | Medicaid | Kentucky | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 130 Evergreen Rd, Suite 100
Louisville, Kentucky |
| Zip: | 40243-1489 |
| Phone Number: | 502-410-1710 |
| Fax Number: | 502-245-5021 |
Patients can reach Kelly Ann Underwood at
130 Evergreen Rd, Suite 100, Louisville, Kentucky or can
call to book an appointment on 502-410-1710.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.