Mitchell Shaw Kennedy
Mitchell Shaw Kennedy is a Dentist in Janesville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
1336 Creston Park DrJanesville, WI 53545-1119
Phone: (608) 755-1082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6001611-15 (WI) |
|---|
Record details
| NPI number | 1124863873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 26, 2024 |
| Last updated in NPPES | August 24, 2024 |
| Certification date | August 24, 2024 |
| Mailing address | 1336 Creston Park Dr, Janesville, WI 53545-1119 |
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