Individual
DR. KELLY SUSAN KENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1322 BELMONT AVE SUITE 204, SALISBURY, MD 21804
(410) 742-4339
(410) 742-4388
Mailing address
1322 BELMONT AVE SUITE 204, SALISBURY, MD 21804
(410) 742-4339
(410) 742-4388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12599
MD
Other
Enumeration date
06/14/2006
Last updated
04/18/2019
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