Theresa D Kenna in Vine Grove - General Practice

Theresa D Kenna - NPI 1982806592

Theresa D Kenna is a General Practice in Vine Grove, Kentucky. Theresa D Kenna practices all healthcare services and medical treatments related to General Practice. The NPI Number for Theresa D Kenna is 1982806592. The last update date is 2014-03-12.

Theresa D Kenna's current location address is 201 W Main St, Vine Grove, Kentucky. You can contact this provider via phone number 2708772011 and fax number 2708772030. The mailing address for Theresa D Kenna is 201 W Main St, Vine Grove, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa D Kenna
Address 201 W Main St, Vine Grove, Kentucky
Phone Number 2708772011
Fax Number 2708772030
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1982806592
Provider Enumeration Date 2007-06-05
Last Updated Date 2014-03-12

Provider Mailing Address Detail

Address 201 W Main St
City Vine Grove
State Kentucky (KY)
Post Code 401751304
Phone Number 2708772011
Fax Number 2708772030

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6807
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60068079 KY --

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FAQs about Theresa D Kenna

What is the unique provider identifier assigned to Theresa D Kenna?

The Theresa D Kenna has been issued the NPI (National Provider Identifier) 1982806592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Theresa D Kenna is geographically located?

The Theresa D Kenna is physically situated at the following location: 201 W Main St, Vine Grove, KY, 401751304.

What is Theresa D Kenna's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Theresa D Kenna is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1982806592 to Theresa D Kenna?

The Theresa D Kenna received its 1982806592 assignment from the Centers for Medicare & Medicaid Services on 2007-06-05.

As of what date were the Theresa D Kenna's details last updated?

The information pertaining to the Theresa D Kenna, including its address, specialty, and other details, was most recently updated on 2014-03-12.

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