Individual
DR. PATRICK B KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4133 TAYLOR BLVD, LOUISVILLE, KY 40215-2341
(502) 368-8400
(502) 368-8423
Mailing address
4133 TAYLOR BLVD, LOUISVILLE, KY 40215-2341
(502) 368-8400
(502) 368-8423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7958
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60002128
—
KY
Enumeration date
10/12/2005
Last updated
12/18/2008
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