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KRISTI N KENNEDY, DDS, MPH – NPI #1376942573
Periodontics

NPI Profile for KRISTI N KENNEDY in APO, AP.

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Contact Information

KRISTI N KENNEDY, DDS, MPH
48TH MEDICAL GROUP, RAF LAKENHEATH
UNIT 5115
APO, AP  09461-5115
 Phone: 314-226-8317
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Periodontics

 1223P0300X
 

General Practice

 1223G0001X
Indicates primary specialty

NPI Profile & details for KRISTI N KENNEDY · (Female)

NPI # 1376942573
Status Active
Credentials DDS, MPH
Entity Individual
Enumeration date 08/14/2014
Last updated 08/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 29922
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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