| Amy Kenny Dmd, Llc | |
|
1166 Us-90 Bay St Louis MS 39520 | |
| (228) 688-0624 | |
| (228) 688-0625 |
| Full Name | Amy Kenny Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1166 Us-90, Bay St Louis, Mississippi |
| Authorized Official Name and Position | Amy Kenny (OWNER) |
| Authorized Official Contact | 2515993202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Kenny Dmd, Llc 1166 Us-90 Bay St Louis MS 39520 Ph: (228) 688-0624 | Amy Kenny Dmd, Llc 1166 Us-90 Bay St Louis MS 39520 Ph: (228) 688-0624 |
| NPI Number | 1306564034 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306564034 | NPI | - | NPPES |
| 00153870 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
M. Bert Keel Jr Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 N Second St, Bay St Louis, MS 39520 Phone: 228-467-5577 Fax: 228-467-0468 |