Individual
DR. CARL L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 4TH AVE, MONTGOMERY, WV 25136-2105
(304) 442-2488
(304) 442-8835
Mailing address
410 4TH AVE, MONTGOMERY, WV 25136-2105
(304) 442-2488
(304) 442-8835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV1531
WV
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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