NPI 1568673366

Kelly Sue Kennedy, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Columbus, OH

Practice location

Address: 305 W 12th Ave Dental Faculty Practice, Columbus, OH 43210-1267
Phone: (614) 292-5574
Fax: (614) 292-9472
Mailing address: 305 W 12th Ave, Columbus, OH 43210-1267

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 30.022717 (OH)

Other Oral & Maxillofacial Surgery providers in Ohio →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 30-022717 (OH)

Other Dentist providers in Ohio →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 2322 (OH)

Registry record

NPI: 1568673366
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2007
Record last updated: 19 Dec 2019

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.