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NPI Code Detail

MEDICARE: DR. JOE BRANCH KENNON D.D.S.

MEDICARE:  DR. JOE BRANCH KENNON  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4868FL

General Provider Information

NPI Number : 1306885074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOE BRANCH KENNON D.D.S.
Provider Business Mailing Address
First Line : 2309 SAINT ANDREWS BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2171
Country : US
Telephone Number : 850-769-1034
Fax Number :
Provider Business Practice Location Address
First Line : 2309 SAINT ANDREWS BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2171
Country : US
Telephone Number : 850-769-1034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 03/01/2026

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Directions to “ DR. JOE BRANCH KENNON D.D.S.” Practice Location

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