Individual
KENDAN ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 VILLAGE CENTER RD, HARLAN, KY 40831-1804
(606) 404-5052
Mailing address
160 WALNUT LOOP, HARLAN, KY 40831-7235
(859) 200-0410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10983
KY
Other
Enumeration date
06/15/2023
Last updated
01/06/2024
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