Individual
DR. ROBERT BACH KENNEDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1790 LEXINGTON AVE N, ROSEVILLE, MN 55113-6167
(651) 488-6771
(651) 488-5576
Mailing address
1790 LEXINGTON AVE N, ROSEVILLE, MN 55113-6167
(651) 488-6771
(651) 488-5576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
LD1699000
MN
Other
Enumeration date
08/22/2005
Last updated
07/08/2007
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