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Kevin Mark Kennedy, DDS
General Practice Dentistry in Waukesha, Wisconsin
NPI 1538245303

Kevin Mark Kennedy is a General Practice Dentistry based in Waukesha, WI and is specialized in General Practice. Kevin Mark Kennedy practices in Waukesha, WI and has the professional credentials of DDS. The NPI Number for Kevin Mark Kennedy is 1538245303 and holds a License No. 2951015 (Wisconsin).

The current practice location address for Kevin Mark Kennedy is 223 Wisconsin Ave, Waukesha, WI and can be reached out via phone at 262-547-8190. You can also correspond with Kevin Mark Kennedy through the mailing address at 223 WISCONSIN AVE, WAUKESHA, WI - 53186-4926 (mailing address contact number: 262-547-8190).

Location: 223 Wisconsin Ave, Waukesha, WI, 53186-4926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538245303
Provider Name
Kevin Mark Kennedy
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
223 Wisconsin Ave, Waukesha, WI, 53186-4926
Phone Number
262-547-8190
Fax Number
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
223 Wisconsin Ave
City
Waukesha
State
Wisconsin
Zip
53186-4926
Phone Number
262-547-8190
Fax Number
person
Provider Business Mailing Address Details
Address
223 Wisconsin Ave
City
Waukesha
State
Wisconsin
Zip
53186-4926
Phone Number
262-547-8190
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2951015 (Wisconsin)
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.
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