Individual
DR. THERESA PAIGE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8089 HIGHWAY 72 W, SUITE A, MADISON, AL 35758-9530
(256) 325-9465
(256) 325-9467
Mailing address
6945 HIGHWAY 72 W, STE G, HUNTSVILLE, AL 35806-1789
(256) 325-6950
(256) 585-1019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-850-TA-354
AL
Other
Enumeration date
08/29/2006
Last updated
02/12/2016
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