Individual
HONORA E. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9801 DUPONT AVE S STE 200, BLOOMINGTON, MN 55431-3200
(952) 888-5800
(952) 567-6156
Mailing address
9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(952) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31464
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829398800
—
MN
Enumeration date
04/05/2006
Last updated
12/20/2017
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