Individual
JESSICA KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 E US HIGHWAY 377, GRANBURY, TX 76049-7432
(817) 573-7153
(817) 573-5640
Mailing address
4000 E US HIGHWAY 377, GRANBURY, TX 76049-7432
(817) 573-7153
(817) 573-5640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9318TG
TX
152W00000X
Optometrist
OPT002931
GA
Other
Enumeration date
07/09/2016
Last updated
07/29/2021
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