JENNIFER A KENNEDY DDS LLC

NPI # 

Practice Address:

601 Broadway Ave

Mattoon, IL, 61938-4340

Practice Phone:

217-235-0556

Practice Fax:

217-234-7243

License Number:

019024517

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X

Updated by NPPES on 12/11/2013. You can view the original data set for NPI # 1992136345 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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