Individual
DR. JOEL A KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
370 E MILLTOWN RD, WOOSTER, OH 44691-1280
(330) 345-3620
(330) 345-3621
Mailing address
370 E MILLTOWN RD, WOOSTER, OH 44691-1280
(330) 345-3620
(330) 345-3621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4024
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703457
—
OH
Enumeration date
08/31/2006
Last updated
09/23/2008
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