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Individual

DR. DENIS T KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2620
(423) 495-2625
Mailing address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2620
(423) 495-2625

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27169
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3087547
BLUE CROSS BLUE SHIELD
05
3099208
TN
Enumeration date
12/09/2005
Last updated
06/02/2010
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