| Kelly A. Hennessey D.d.s., Pllc | |
|
3615 S Grand Blvd Spokane WA 99203-2624 | |
| (509) 456-8676 | |
| (509) 465-8676 |
| Full Name | Kelly A. Hennessey D.d.s., Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3615 S Grand Blvd, Spokane, Washington |
| Authorized Official Name and Position | Kelly A Hennessey (DENTIST/OWNER) |
| Authorized Official Contact | 5097145757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly A. Hennessey D.d.s., Pllc 3615 S Grand Blvd Spokane WA 99203-2624 Ph: (509) 456-8676 | Kelly A. Hennessey D.d.s., Pllc 3615 S Grand Blvd Spokane WA 99203-2624 Ph: (509) 456-8676 |
| NPI Number | 1710634670 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710634670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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