# SCOTT A KENNEDY OD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scott A Kennedy OD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053529008
- **Authorized official:** SCOTT A KENNEDY OD PC (SOLE BUSINESS OWNER)
- **Authorized official phone:** (814) 827-7931

## Contact information

- **Practice address:** 122 N FRANKLIN ST, TITUSVILLE, PA 16354-1761
- **Practice address phone:** (814) 827-7931
- **Mailing address:** PO BOX 285, TITUSVILLE, PA 16354-0285
- **Mailing address phone:** (814) 827-7931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | OEG000659 | PA | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 02/05/2008