Organization
KENNEDY EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B KENNEDY O.D., F.A.A.O. (PRESIDENT)
(651) 488-6771
Entity
Organization
Contact information
Practice address
1790 LEXINGTON AVE N, SAINT PAUL, MN 55113-6167
(651) 488-6771
(651) 488-5576
Mailing address
1790 LEXINGTON AVE N, SAINT PAUL, MN 55113-6167
(651) 488-6771
(651) 488-5576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
03/11/2008
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