Individual
AUSTIN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 E BATTLEFIELD ST, SPRINGFIELD, MO 65807-4811
(417) 469-7637
Mailing address
805 S 3RD ST, ROGERS, AR 72756-4620
(479) 866-9325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025025468
MO
Other
Enumeration date
03/06/2025
Last updated
06/26/2025
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