Organization
KENNEDY & PERKINS. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L KENNEDY JR. LDO (VICE PRESIDENT)
(203) 624-3145
Entity
Organization
Contact information
Practice address
105 ELM ST, UNIT 15, OLD SAYBROOK, CT 06475-4132
(860) 388-4394
(860) 395-0200
Mailing address
80 WHITNEY AVE, NEW HAVEN, CT 06510-1217
(203) 624-3145
(203) 867-8733
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001495
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000637
OPTICIAN
CT
05
—
004036372
—
CT
Enumeration date
03/14/2011
Last updated
03/14/2011
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