IndividualActive
James Kennedy, DDS
NPI 1063422392 · General Practice Dentistry · Brookfield, IL
Provider details
- NPI number
- 1063422392
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1917217 (IL)
Specialties & taxonomies
Dental Providers
Practice location
9408 47th St
Brookfield, IL 60513-2235
Phone: (708) 387-7755
Approximate (ZIP-level) locationGet directions
Mailing address
9408 47th St
Brookfield, IL 60513-2235
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.