TIMOTHY RYAN KENNEDY

FORT CARSON, CO
NPI1073246815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  10759)
Enumeration Date2022-07-08
Last Update Date2023-08-25
Business Address
TIMOTHY RYAN KENNEDY DMD
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913-4603
Phone number: 719-526-5537
Mailing Address
TIMOTHY RYAN KENNEDY DMD
3740 SOUTH 14TH ST
JOINT BASE LEWIS-MCCHORD, WA 98433
Phone number:
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