Individual
DR. RICHARD W. KENNEDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1246 NILLES RD, SUITE 3, FAIRFIELD, OH 45014-2912
(513) 858-6575
Mailing address
1246 NILLES RD, SUITE 3, FAIRFIELD, OH 45014-2912
(513) 858-6575
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30016014
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424213
—
OH
Enumeration date
05/10/2006
Last updated
07/09/2007
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