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Individual
SCOTT A KENNEDY
Active
Individual
SCOTT A KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG000659
PA
152WP0200X
Pediatric Optometrist
OEG000659
PA
152WV0400X
Vision Therapy Optometrist
OEG000659
PA
Other
Enumeration date
04/06/2006
Last updated
10/30/2018
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