Individual
DR. KENNETH JAMES LINDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N UNION ST, SUITE 101, ROCHESTER, NY 14607-1345
(585) 232-2560
(585) 232-6446
Mailing address
30 N UNION ST, SUITE 101, ROCHESTER, NY 14607-1345
(585) 232-2560
(585) 232-6446
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
150771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01368836
—
NY
01
—
100995CR
PREFERRED CARE
NY
01
—
2467
EXCELLUS BLUE SHIELD
NY
01
—
4391821
AETNA
NY
01
—
P010150771
EXCELLUS BLUE CHOICE
NY
Enumeration date
08/02/2006
Last updated
10/09/2014
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