Individual
DR. JEAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6351 US ROUTE 60 E, SUITE 5, BARBOURSVILLE, WV 25504-1233
(304) 736-9232
(304) 736-9220
Mailing address
6351 US ROUTE 60 E, SUITE 5, BARBOURSVILLE, WV 25504-1233
(304) 736-9232
(304) 736-9220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2900
WV
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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