Individual
DR. KEVON EARL RENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1029
(860) 679-2000
Mailing address
4873 BELLE TERRE PKWY, PALM COAST, FL 32137-8696
(646) 290-1706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10805
CT
1223G0001X
General Practice Dentistry
DN1856061
MA
1223G0001X
General Practice Dentistry
Primary
DN21399
FL
390200000X
Student in an Organized Health Care Education/Training Program
10805
CT
Other
Enumeration date
04/29/2011
Last updated
01/18/2021
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