Kennedy, Tia

Kennedy, Tia is an individual health care provider with primary practice located at 1013 Avalon Ave , Muscle Shoals AL 35661-2401. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kennedy, Tia can be contacted via phone (256) 381-2100.

Contact Information

Primary practice address
1013 Avalon Ave Muscle Shoals AL 35661-2401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5854 Alabama

Profile Details

NPI number 1215214952
LBN Legal business name Kennedy, Tia
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2011
Last updated Nov 9th, 2011 - about 13 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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