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Individual

DR. KENNEDY PENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1372 S RANGELINE RD, CARMEL, IN 46032-2932
(317) 420-2020
Mailing address
573 HARSTAD BLVD, WESTFIELD, IN 46074-7111
(812) 631-5570

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004415A
IN
152WP0200X
Pediatric Optometrist
18004415A
IN

Other

Enumeration date
06/23/2023
Last updated
04/24/2026
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