Individual
DR. NICOLA C KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
960 MAIN ST, 8TH FLOOR, HARTFORD BOARD OF ED HEALTH SERVICES, HARTFORD, CT 06103
(860) 695-4005
Mailing address
960 MAIN ST, 8TH FLOOR, HARTFORD BOARD OF ED HEALTH SERVICES, HARTFORD, CT 06103
(860) 695-4005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008653
CT
1223D0001X
Public Health Dentistry
008653
CT
1223G0001X
General Practice Dentistry
008653
CT
Other
Enumeration date
08/29/2007
Last updated
04/07/2016
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