Individual
DR. THOMAS MICHAEL KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1261 CLIFTY HOLLOW RD, MADISON, IN 47250-3049
(812) 265-6411
(812) 265-4392
Mailing address
1261 CLIFTY HOLLOW RD, MADISON, IN 47250-3049
(812) 265-6411
(812) 265-4392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007951
IN
Other
Enumeration date
03/26/2007
Last updated
07/09/2007
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