Kevin Michael Kennedy, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Bridgeport, CT

NPI

1730201310

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

6732 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-04

Last updated

2007-07-08