Individual
DR. TYLER BRENT KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1331 POYNTZ AVE, MANHATTAN, KS 66502-4362
(785) 537-2420
Mailing address
1331 POYNTZ AVE, MANHATTAN, KS 66502-4362
(785) 537-2420
(785) 537-4980
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1935
KS
Other
Enumeration date
07/27/2012
Last updated
05/03/2017
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