Dr. Kelly Sue Kennedy
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
305 W 12th Ave Dental Faculty Practice
Columbus
, Ohio 43210-1267
Dr. Kelly Sue Kennedy
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
305 W 12th Ave Dental Faculty Practice
Columbus
, Ohio 43210-1267
(614) 292-9472
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kelly Sue Kennedy
- 305 W 12th Ave
- Columbus, OH
- Zip : 43210-1267
- Fax : (614) 292-9472
- Phone : (614) 292-5574
Second Address
- Dr. Kelly Sue Kennedy
- 305 W 12th Ave Dental Faculty Practice
- Columbus, OH
- Zip : 43210-1267
- Fax : (614) 292-9472
- Phone : (614) 292-5574
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 2322 | OH |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 30-022717 | OH |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 30.022717 | OH |
National Provider Identifier
| NPI | 1568673366 |
|---|---|
| Provider Name | Dr. Kelly Sue Kennedy |
| First Address | Columbus, OH 43210-1267 |
| Second Address | Columbus, OH 43210-1267 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2007 |
| Last Update Date | 19/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.