NPI 1003510793

Katherine Burts Jennell, RDH

Practitioner Dental Hygienist Richmond, VA

Practice location

Address: 719 N 25th St, Richmond, VA 23223-6539
Phone: (804) 780-0840
Fax: (804) 329-1206
Mailing address: 2809 North Ave, Richmond, VA 23222-3647

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 0402003276 (VA)

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Registry record

NPI: 1003510793
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2023
Record last updated: 28 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.