| NPI | 1063858884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CLARENCE KENNEDY Dentist 785-271-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 5183) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |