Individual
DR. CASEY PATRICK KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4538 3RD ST, MOLINE, IL 61265-6104
(309) 764-2720
Mailing address
4538 3RD ST, MOLINE, IL 61265-6104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020130
IL
Other
Enumeration date
05/21/2007
Last updated
11/08/2012
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