Individual
DR. ALEXANDRA RICKER KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
3805 BROOKSIDE DR, TYLER, TX 75701-9421
(903) 581-2900
(903) 509-0160
Mailing address
3805 BROOKSIDE DR, TYLER, TX 75701-9421
(903) 581-2900
(903) 509-0160
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
35680
TX
Other
Enumeration date
07/09/2019
Last updated
04/16/2024
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