Individual
DR. KENNETH CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3711 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 491-3700
Mailing address
3711 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 491-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61181
KS
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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