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KELLY ANN UNDERWOOD DMD
NPI 1457479818
Dentist - General Practice in Louisville, KY

Active since March 26, 2007
130 EVERGREEN RD, SUITE 100, LOUISVILLE, KY 40243(502) 410-1710(502) 245-5021 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Ann Underwood Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN UNDERWOOD DMD (NPI 1457479818) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (8450) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1457479818
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKELLY ANN UNDERWOODCredential: DMD
Location Address130 EVERGREEN RD, SUITE 100Louisville, KY 40243-1489
Mailing Address130 Evergreen Rd, Suite 100Louisville, KY 40243-1489 · (502) 410-1710 · Fax (502) 245-5021
Phone(502) 410-1710
Fax(502) 245-5021
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateOctober 23, 2013
✔ NPI 1457479818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 8450
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 8450 (KY)
130 EVERGREEN RD, Louisville, KY 40243
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Other Identifiers 3

Medicaid7100002330KY
Other7100219740KY · Ky Medicaid Epsdt
Medicaid7100219740KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIMBERLY S HANSFORD DMD
Dentist (Pediatric Dentistry)
130 EVERGREEN RD, SUITE 100
MIDDLETOWN, KY 40243
Jefferson County (502) 410-1710
DEBORAH HOLLADAY COUNSELING, M.S., LPCC PSC
Community/Behavioral Health
130 EVERGREEN RD, SUITE 202
LOUISVILLE, KY 40243
Jefferson County (502) 599-3593
SPECIALIZED DENTAL SERVICES.PLLC
Clinic/Center (Dental)
130 EVERGREEN RD
LOUISVILLE, KY 40243
Jefferson County (502) 410-1710
DEBORAH LEE HOLLADAY MS ED
Counselor
130 EVERGREEN RD, SUITE 202
LOUISVILLE, KY 40243
Jefferson County (502) 599-3593

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Underwood's NPI number?

The NPI number for Kelly Underwood is 1457479818. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Kelly Underwood located?

Kelly Underwood practices at 130 Evergreen Rd Suite 100, Louisville, KY 40243. The listed phone number is (502) 410-1710.

What is Kelly Underwood's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kelly Underwood accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Alabama and 11 other insurers list Kelly Underwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Underwood was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.