Individual
DR. JASON BRANCH KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2309 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2171
(850) 769-1034
Mailing address
2309 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2171
(850) 769-1034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15995
FL
Other
Enumeration date
05/17/2006
Last updated
01/06/2008
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