Kennedy, Kelly Sue

Kennedy, Kelly Sue is an sole proprietor health care provider with primary practice located at 305 W 12Th Ave Dental Faculty Practice, Columbus OH 43210-1267. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is her primary health care specialty. Kennedy, Kelly Sue can be contacted via phone (614) 292-5574.

Contact Information

Primary practice address
305 W 12Th Ave Dental Faculty Practice Columbus OH 43210-1267
Phone: (614) 292-5574
Fax: (614) 292-9472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30-022717 Ohio
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2322 Ohio
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 30.022717 Ohio

Profile Details

NPI number 1568673366
LBN Legal business name Kennedy, Kelly Sue
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Dec 19th, 2019 - about 5 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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