Kennedy, Carl L

Kennedy, Carl L is an individual health care provider with primary practice located at 410 4Th Ave , Montgomery WV 25136-2105. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kennedy, Carl L can be contacted via phone (304) 442-2488.

Contact Information

Primary practice address
410 4Th Ave Montgomery WV 25136-2105
Phone: (304) 442-2488
Fax: (304) 442-8835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X WV1531 West Virginia

Profile Details

NPI number 1346301215
LBN Legal business name Kennedy, Carl L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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