Kenneth W Livesay Jr.
DMD | Dentist | 27+ years Exp
1013 N Dupont Sq Ste B, Louisville
Kentucky, 40207-4612
502-897-5282 502-896-6714
Maps & DirectionsKenneth 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 | |
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.