Individual provider · Type 1 NPI

Alicia Nicole Kennedy, DMD

Student in an Organized Health Care Education/Training Program · Mesa, AZ

NPI number 1801471297 Active

Practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Call (480) 248-8107 Map

Mailing address

10136 E Southern Ave Unit 3084
Mesa, AZ 85209-2755

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801471297

Alicia Nicole Kennedy, DMD's National Provider Identifier is 1801471297, issued on Mar 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mesa, AZ. The record was last updated on Mar 17, 2021.