Individual
DR. DOUGLAS A, KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
260 S BROADWAY, GENEVA, OH 44041-1807
(440) 466-2202
Mailing address
260 S BROADWAY, GENEVA, OH 44041-1807
(440) 466-2202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.019431
OH
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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