Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY SUE KENNEDY, D.D.S.
Active Sole ProprietorDR. KELLY SUE KENNEDY, D.D.S. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in COLUMBUS, Ohio. NPI 1568673366 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · COLUMBUS, OH
Registration Details
- NPI Number
- 1568673366
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2007 (19.190811210939 yrs)
- Last Updated
- Dec 19, 2019
- Licenses
-
30-022717 (OH)2322 (OH)30.022717 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 W 12TH AVEDENTAL FACULTY PRACTICECOLUMBUS, OH, 432101267Browse OH providers · Browse ZIP 43210
- Phone
- 6142925574
- Fax
- 6142929472
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Other Oral & Maxillofacial Surgery (Physician) Providers in COLUMBUS, OH
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY MARK NESS | D.D.S. | 1528037413 |
| DR. PETER ERIC LARSEN | DDS | 1205912300 |
| DR. COURTNEY ANN JATANA | D.D.S. | 1912125899 |
| DR. HANY EMAM | BDS | 1316176944 |
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.