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Individual

DR. KENNETH JOE WEINAND

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
14500 E 42ND ST S, STE 210, INDEPENDENCE, MO 64055-4700
(816) 478-4244
(816) 478-2404
Mailing address
14500 E 42ND ST S, STE 210, INDEPENDENCE, MO 64055-4700
(816) 478-4244
(816) 478-2404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012756
MO

Other

Enumeration date
05/24/2005
Last updated
07/08/2007
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