Individual
KERRY D KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
625 E 34TH AVE, ANCHORAGE, AK 99503-4117
(907) 277-5684
(907) 277-5694
Mailing address
625 E 34TH AVE, ANCHORAGE, AK 99503-4117
(907) 277-5684
(907) 277-5694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
A495
AK
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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