Individual
DR. KEVIN CHAMBLISS KENNEDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
590 FIRE STATION RD STE C, CLARKSVILLE, TN 37043-4016
(931) 648-9930
Mailing address
2858 SUMMER LAWN DR, CLARKSVILLE, TN 37043-4030
(931) 648-9930
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9411
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527793
—
TN
Enumeration date
06/14/2010
Last updated
01/22/2019
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