Andrew Dale Kennedy, DDS Valid NPI
Individual provider · Dentist · Apo, AE
- NPI
- 1699228692
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 9831387-9922 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-07-27
- Last updated
- 2022-05-02
Practice location
Unit 28038
Apo, AE 09112-8038
(435) 720-7260