Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALEXANDRA RICKER KENNEDY, DDS, MS
Active Sole ProprietorDR. ALEXANDRA RICKER KENNEDY, DDS, MS is a Periodontology healthcare provider located in TYLER, Texas. NPI 1891347951 is currently active in the NPPES registry. Verify at CMS.
Periodontology · TYLER, TX
Registration Details
- NPI Number
- 1891347951
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2019 (7.0584638972687 yrs)
- Last Updated
- Apr 16, 2024
- License
-
35680 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3805 BROOKSIDE DRTYLER, TX, 757019421Browse TX providers · Browse ZIP 75701
- Phone
- 9035812900
- Fax
- 9035090160
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in TYLER, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN E. ADCOCK | D.D.S., M.S. | 1922005503 |
| DR. KAYLEIGH EAVES TEMPLE | DDS | 1396009148 |
| DOUGLAS WITTE | DDS MS | 1922400290 |
| DR. ANGEL EMMANUEL RODRIGUEZ PENA | DDS, MSD | 1639650245 |
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.