Individual provider · Type 1 NPI
Kristi Nicole Johnson Kennedy, DDS, MPH
Periodontics · Scott Afb, IL
NPI number
1376942573
Active
Practice location
310 W Losey St
Scott Afb, IL 62225-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 29922 (TX) |
| Periodontics Primary | 1223P0300X | 29922 (TX) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
148 other providers at this address
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- St. Louis JC VamcVA Clinic/Center Scott Air Force Base, IL NPI 1093192908
- United States Air ForceMilitary Hospital Scott Afb, IL NPI 1114287059
- Abby McElroy, WHNPWomen's Health Nurse Practitioner Scott Air Force Base, IL NPI 1962197376
- Adam Kirk Derrickson, MDInternal Medicine Physician Scott Afb, IL NPI 1265525414
- Addison F. Jacobs, MDDiagnostic Radiology Physician Scott Air Force Base, IL NPI 1679109482
- Ainsley McCullough, MDObstetrics & Gynecology Physician Scott Afb, IL NPI 1225568629
- Alfred J. Ozanian, PhDClinical Social Worker Scott Afb, IL NPI 1871588459
- Alyssa Rose HallFamily Nurse Practitioner Scott Afb, IL NPI 1477138261
Other periodontics providers in Scott Afb
About NPI 1376942573
Kristi Nicole Johnson Kennedy, DDS, MPH's National Provider Identifier is 1376942573, issued on Aug 14, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Scott Afb, IL. The record was last updated on Jun 23, 2026.