Dr. Wade Alexander Kennedy
Endodontist
5745 Erindale Dr Suite 200
Colorado Springs
, Colorado 80918-8926
Dr. Wade Alexander Kennedy
Endodontist
5745 Erindale Dr Suite 200
Colorado Springs
, Colorado 80918-8926
(719) 599-8599
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Wade Alexander Kennedy
- 5745 Erindale Dr Suite 200
- Colorado Springs, CO
- Zip : 80918-8926
- Fax : (719) 599-8599
- Phone : (719) 599-7665
Second Address
- Dr. Wade Alexander Kennedy
- 5745 Erindale Dr Suite 200
- Colorado Springs, CO
- Zip : 80918-8926
- Fax : (719) 599-8599
- Phone : (719) 599-7665
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 6054 | CO |
National Provider Identifier
| NPI | 1134241185 |
|---|---|
| Provider Name | Dr. Wade Alexander Kennedy |
| First Address | Colorado Springs, CO 80918-8926 |
| Second Address | Colorado Springs, CO 80918-8926 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2007 |
| Last Update Date | 08/07/2007 |
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.