# KERRY KENDRICK, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093004590
- **Authorized official:** KERRY L KENDRICK DDS (OWNER/DENTIST)
- **Authorized official phone:** (304) 757-7792

## Contact information

- **Practice address:** 203 CHASE DR, HURRICANE, WV 25526-8938
- **Practice address phone:** (304) 757-7792
- **Practice address fax:** (304) 757-7808
- **Mailing address:** 203 CHASE DR, HURRICANE, WV 25526-8938
- **Mailing address phone:** (304) 757-7792
- **Mailing address fax:** (304) 757-7808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 3175 | WV | Yes |

## Other

- **Enumeration date:** 04/05/2011
- **Last updated:** 04/05/2011