Kinnison Edmunds

NPI #1275190720 in Pickerington, Ohio

Provider Information

NPI Number: 1275190720
Entity Type: Individual
Name: Kinnison Edmunds
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: May 21, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 11295 STONECREEK DR
City: Pickerington
State: Ohio
ZIP Code: 43147-9138
Phone: (614) 864-3196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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