Individual
DR. KENNEDY HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7957
Mailing address
615 E 11TH ST, INDIANAPOLIS, IN 46202-2727
(317) 690-1718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014110A
IN
Other
Enumeration date
03/27/2023
Last updated
05/31/2023
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