Individual
MR. TERRY L. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
121 VILLAGE SQ, MIDDLETOWN, KY 40243-1420
(502) 245-7491
(502) 245-0581
Mailing address
121 VILLAGE SQ, MIDDLETOWN, KY 40243-1420
(502) 245-7491
(502) 245-0581
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
#299
KY
Other
Enumeration date
03/02/2007
Last updated
02/11/2008
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