Kelly Sue Kennedy in Columbus - Oral And Maxillofacial Surgery
Kelly Sue Kennedy - NPI 1568673366
Kelly Sue Kennedy is a Oral And Maxillofacial Surgery in Columbus, Ohio. Kelly Sue Kennedy practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kelly Sue Kennedy is 1568673366. The last update date is 2019-12-19.
Kelly Sue Kennedy's current location address is 305 W 12th Ave, Columbus, Ohio. You can contact this provider via phone number 6142925574 and fax number 6142929472. The mailing address for Kelly Sue Kennedy is 305 W 12th Ave, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Sue Kennedy |
|---|---|
| Address | 305 W 12th Ave, Columbus, Ohio |
| Phone Number | 6142925574 |
| Fax Number | 6142929472 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1568673366 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2019-12-19 |
Provider Mailing Address Detail
| Address | 305 W 12th Ave |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432101267 |
| Phone Number | 6142925574 |
| Fax Number | 6142929472 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 30-022717 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the Kelly Sue Kennedy's 1568673366?
The Kelly Sue Kennedy's NPI (National Provider Identifier) Number is 1568673366. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelly Sue Kennedy is physically located?
The Kelly Sue Kennedy is situated at the following address: 305 W 12Th Ave, Columbus, OH 432101267.
What is the Kelly Sue Kennedy's specialty and taxonomy code?
The Kelly Sue Kennedy's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did Kelly Sue Kennedy receive its 1568673366 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Sue Kennedy was assigned its 1568673366 on 2007-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kelly Sue Kennedy most recently updated or revised?
The details related to Kelly Sue Kennedy, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-19.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC