Individual
MICHAEL PETER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 N 12TH ST FL 4, RICHMOND, VA 23298-5064
(530) 701-2102
Mailing address
PO BOX 1927, CHESTERFIELD, VA 23832-9109
(530) 701-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414249
VA
Other
Enumeration date
10/03/2006
Last updated
04/06/2025
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