Individual
DR. KEVIN DENNIE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN
Contact information
Practice address
7305 TWELVE OAKS BLVD, TAMPA, FL 33634-2271
(813) 270-4705
Mailing address
7305 TWELVE OAKS BLVD, TAMPA, FL 33634-2271
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LCMFT0487011216
FL
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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