Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth W Livesay Jr., DMD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1558390724

Kenneth W Livesay Jr., DMD is an Oral & Maxillofacial Surgery (D.M.D.) in Louisville, Kentucky. Practices as a sole proprietor and works from 3 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1013 N Dupont Sq Ste B
Louisville, KY 40207-4612
Phone: (502) 897-5282
Fax: (502) 896-6714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4181 New Shepherdsville Rd, Bardstown, KY 40004-9021 — (502) 305-3649
  • 300 Middletown Park Pl Ste A, Louisville, KY 40243-2541 — (502) 254-3818

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 8186 (KY)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 8186 (KY)

Record details

NPI number1558390724
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 1, 2006
Last updated in NPPESSeptember 17, 2019

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