Individual
KENEDY FOMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
205 GROVE ST, MANCELONA, MI 49659-8018
(866) 878-6553
Mailing address
1896 LIGHTHOUSE LN, TRAVERSE CITY, MI 49696-9302
(989) 280-0602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602262
MI
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us