Individual
KENNARD HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6656 GERMANTOWN AVE, SUITE 1, PHILADELPHIA, PA 19119-2163
(718) 825-2067
Mailing address
6656 GERMANTOWN AVE, SUITE 1, PHILADELPHIA, PA 19119-2163
(718) 825-2067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002906
PA
Other
Enumeration date
06/04/2014
Last updated
11/28/2016
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