Individual
DR. ALICIA NICOLE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5835 E STILL CIR, MESA, AZ 85206-3618
(480) 248-8107
Mailing address
10136 E SOUTHERN AVE UNIT 3084, MESA, AZ 85209-2755
(860) 883-3792
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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