Timothy Ryan Kennedy, DMD
NPI #1073246815 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1073246815
- Entity Type
- Individual
- Name
- Timothy Ryan Kennedy, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jul 8, 2022
- Last Updated
- Aug 25, 2023
Practice Location
- Address
- 1667 COCHRANE CIR BLDG 7495
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4603
- Phone
- (719) 526-5537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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