Individual
SHARON JEANETTE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
23096 LEAWARD LN, ABINGDON, VA 24211-5546
(276) 614-8214
Mailing address
23096 LEAWARD LN, ABINGDON, VA 24211-5546
(276) 614-8214
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402003896
VA
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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