JASON ROBERT KENNEDY

MARYVILLE, TN
NPI1518151935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: TN  N/A (RESIDENT))
Enumeration Date2007-08-29
Last Update Date2008-06-04
Business Address
DR. JASON ROBERT KENNEDY D.M.D.
1858 CREST RD
MARYVILLE, TN 37804-4305
Phone number: 865-977-7110
Mailing Address
DR. JASON ROBERT KENNEDY D.M.D.
301 LAKE FOREST DR
KNOXVILLE, TN 37920-5146
Phone number: 865-577-0361