Individual
ANN DOUGLAS KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
16607 RIVERSTONE WAY STE 300, CHARLOTTE, NC 28277
(704) 544-5000
Mailing address
16607 RIVERSTONE WAY STE 300, CHARLOTTE, NC 28277-5750
(336) 209-2974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10082
NC
1223P0221X
Pediatric Dentistry
Primary
10082
NC
Other
Enumeration date
05/29/2015
Last updated
11/26/2018
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