Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER A KENNEDY, DDS
ActiveDR. JENNIFER A KENNEDY, DDS is a Dentist healthcare provider located in MATTOON, Illinois. NPI 1013936962 is currently active in the NPPES registry. Verify at CMS.
Dentist · MATTOON, IL
Registration Details
- NPI Number
- 1013936962
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2006 (20.046482483814 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
601 BROADWAY AVEMATTOON, IL, 619384340Browse IL providers · Browse ZIP 61938
- Phone
- 2172350556
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| SUZANNE D HASLETT | DDS | 1548249089 |
| DR. ANDREW GENE CALDIERARO | DMD | 1619259470 |
| MITZY A. GOLDEN | — | 1982018842 |
| CODY ALLEN GASS | D.M.D. | 1659801629 |
| DR. ASHLEY ROSE GOLDMAN | DMD | 1609515535 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.