Dr. Theresa D Kenna, D.M.D.
Dentist, General Practice in Vine Grove, KY. Individual provider (NPI-1).
NPI number1982806592
StatusActive
Last updated in NPPESMar 12, 2014
Details
- NPI
- 1982806592
- Entity type
- Individual (NPI-1)
- Name
- Dr. Theresa D Kenna
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2007
- Last updated
- Mar 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6807 | KY | Yes |
Other names
- Theresa K Miller (Former Name)
Practice location
201 W Main StVine Grove, KY 40175-1304
Phone 270-877-2011 · Fax 270-877-2030
Mailing address
201 W Main StVine Grove, KY 40175-1304
Phone 270-877-2011 · Fax 270-877-2030
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