Kenneth W Livesay Jr. is a Louisville, Kentucky based Dentist with 27 years of experience in Dentist. He completed his graduation from University Of Louisville School Of Dentistry in 1998. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenneth W Livesay Jr. is 8186 for Oral and Maxillofacial Surgery in Kentucky. His current practice location is 1013 N Dupont Sq Ste B, Louisville. Patients can reach him at 502-897-5282.
Kenneth W Livesay Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kenneth W Livesay Jr. 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:
Kenneth W Livesay Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Experience:
27+ years
Medical School Attended:
University Of Louisville School Of Dentistry
Graduation Year:
1998
Accepts Medicare Assignment:
Yes
Practice Address:
1013 N Dupont Sq Ste B, Louisville, Kentucky, 40207-4612
Phone:
502-897-5282
Fax:
502-896-6714
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.
PAC ID:
4688570948
Enrollment ID:
I20050727000035
NPI Number:
1558390724
NPI Enumeration Date:
01 Jul, 2006
NPI Last Update On:
17 Sep, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth W Livesay Jr. are as mentioned below.
License Number
Specialization
State
Status
8186
Oral and Maxillofacial Surgery
Kentucky
Primary
8186
Oral & Maxillofacial Surgery
Kentucky
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kenneth W Livesay Jr. is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
East Louisville Oral Surgery And Dental Implants Plc (9032146683)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth W Livesay Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
64106420
Medicaid
Kentucky
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
He does not participate in the Physician Quality Reporting System Incentive Program.
EHR
He does not participate in the Electronic Health Record Incentive Program.
MHI
He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1013 N Dupont Sq Ste B, Louisville, Kentucky
Zip:
40207-4612
Phone Number:
502-897-5282
Fax Number:
502-966-7148
Patients can reach Kenneth W Livesay Jr. at 1013 N Dupont Sq Ste B, Louisville, Kentucky or can call to book an appointment on 502-897-5282. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.