Individual
DR. D. J. TONY KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 S WOODSCREST DR, BLOOMINGTON, IN 47401-5524
(812) 332-0866
(812) 339-4333
Mailing address
515 S WOODSCREST DR, BLOOMINGTON, IN 47401-5524
(812) 332-0866
(812) 339-4333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006724A
IN
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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