DR. Jennifer A Kennedy, DDS

NPI #1013936962 in Mattoon, Illinois

Provider Information

NPI Number
1013936962
Entity Type
Individual
Name
DR. Jennifer A Kennedy, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
601 BROADWAY AVE
ZIP Code
61938-4340
Phone
(217) 235-0556

Specialties & Taxonomy Codes

Specialty
Dentist

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