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Individual

DR. KENNEDY WAYNE GERMANY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2292 DALTON DR STE F, CLARKSVILLE, TN 37043-8961
(931) 503-1111
Mailing address
2292 DALTON DR STE F, CLARKSVILLE, TN 37043-8961
(931) 503-1111

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11387
TN
2255A2300X
Athletic Trainer
TN

Other

Enumeration date
05/22/2019
Last updated
12/01/2023
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