Jennifer a Kennedy DDS LLC

NPI #1992136345 in Mattoon, Illinois

Provider Information

NPI Number
1992136345
Entity Type
Organization
Organization Name
Jennifer a Kennedy DDS LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 11, 2013
Last Updated
Dec 11, 2013

Practice Location

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

Authorized Official

Name
DR. JENNIFER A KENNEDY, DDS
Title
DENTIST
Phone
(217) 235-0556

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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