Organization
SCOTT A KENNEDY OD PC
Active
Other names
Scott A Kennedy OD PC
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A KENNEDY OD PC (SOLE BUSINESS OWNER)
(814) 827-7931
Entity
Organization
Contact information
Practice address
122 N FRANKLIN ST, TITUSVILLE, PA 16354-1761
(814) 827-7931
Mailing address
PO BOX 285, TITUSVILLE, PA 16354-0285
(814) 827-7931
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG000659
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410042928
PALMETTO GBA
PA
Enumeration date
05/21/2007
Last updated
02/05/2008
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