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Individual

DR. GERALD L KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3506 N LOMBARD ST, PORTLAND, OR 97217-5902
(503) 289-0230
(503) 286-5055
Mailing address
3506 N LOMBARD ST, PORTLAND, OR 97217-5902
(503) 289-0230
(503) 286-5055

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6716
OR

Other

Enumeration date
10/27/2005
Last updated
10/30/2024
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