Dr. Kelly Sue Kennedy
D.D.S. | Oral and Maxillofacial Surgeon | 17+ years Exp
305 W 12th Ave, Dental Faculty Practice, Columbus
Ohio, 43210-1267
614-292-5574 614-292-9472
Maps & DirectionsDr. Kelly Sue Kennedy is a Columbus, Ohio based Oral and Maxillofacial Surgeon with
17 years of experience in
Oral and Maxillofacial Surgery. She completed her graduation from
Other in 2008 She is also affiliated with hospitals like
. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Kelly Sue Kennedy is
30.022717 in Ohio. Her current practice location is
305 W 12th Ave, Dental Faculty Practice, Columbus. Patients can reach her at
614-292-5574.
Dr. Kelly Sue Kennedy deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Kelly Sue Kennedy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kelly Sue Kennedy |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Female |
| Credentials: | D.D.S. |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 305 W 12th Ave, Dental Faculty Practice, Columbus, Ohio, 43210-1267 |
| Phone: | 614-292-5574 |
| Fax: | 614-292-9472 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7911062955 |
| Enrollment ID: | I20090209000081 |
| NPI Number: | 1568673366 |
| NPI Enumeration Date: | 24 May, 2007 |
| NPI Last Update On: | 19 Dec, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly Sue Kennedy are as mentioned below.
| License Number | Specialization | State | Status | |
| 30.022717 | | Ohio | Primary | |
| 30-022717 | Oral and Maxillofacial Surgery | Ohio | Secondary | |
| 2322 | Oral and Maxillofacial Surgery | Ohio | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (360085) | Columbus, OH | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kelly Sue Kennedy is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Ohio State Dental Faculty Practice Inc (5496788630) | 6 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 305 W 12th Ave, Columbus, Ohio |
| Zip: | 43210-1267 |
| Phone Number: | 614-292-5574 |
| Fax Number: | 614-292-9472 |
Patients can reach Dr. Kelly Sue Kennedy at
305 W 12th Ave, Dental Faculty Practice, Columbus, Ohio or can
call to book an appointment on 614-292-5574.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.