| Kennedy & Richardson Dental Office | |
|
1000 Parkway Rd Ste. D Charleston WV 25309-9418 | |
| (304) 744-9717 | |
| (304) 744-9733 |
| Full Name | Kennedy & Richardson Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1000 Parkway Rd, Charleston, West Virginia |
| Authorized Official Name and Position | Kimberly Ann Dillon (ACCOUNT MANAGER) |
| Authorized Official Contact | 3047449717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy & Richardson Dental Office 1000 Parkway Rd Ste. D Charleston WV 25309-9418 Ph: (304) 744-9717 | Kennedy & Richardson Dental Office 1000 Parkway Rd Ste. D Charleston WV 25309-9418 Ph: (304) 744-9717 |
| NPI Number | 1003850256 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003850256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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