Individual
DR. GABRIEL M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1040 24TH AVE SW, ALBANY, OR 97321-7539
(541) 924-9000
(541) 926-1036
Mailing address
1040 24TH AVE SW, ALBANY, OR 97321-7539
(541) 924-9000
(541) 926-1036
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D8916
OR
Other
Enumeration date
03/26/2008
Last updated
06/23/2010
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