Individual
DR. CATHERINE KAREN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11645 ANGUS RD BLDG A STE 5, AUSTIN, TX 78759-4100
(512) 345-5641
(512) 345-0863
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3809TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148105-01
—
TX
Enumeration date
02/21/2006
Last updated
03/01/2021
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