Individual
MRS. KAREN THERESE HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1647 16TH AVE NW, ROCHESTER, MN 55901-1650
(507) 282-4401
Mailing address
620 E MAIN ST, LEWISTON, MN 55952-1209
(507) 523-3227
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5755
MN
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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