Mitchell Shaw Kennedy
NPI #1124863873 in Janesville, Wisconsin
Provider Information
- NPI Number
- 1124863873
- Entity Type
- Individual
- Name
- Mitchell Shaw Kennedy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 26, 2024
- Last Updated
- Aug 24, 2024
Practice Location
- Address
- 1336 CRESTON PARK DR
- City
- Janesville
- State
- Wisconsin
- ZIP Code
- 53545-1119
- Phone
- (608) 755-1082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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