Individual
DR. ROBERT E KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11824 BELLEVILLE RD, BELLEVILLE, MI 48111
(734) 699-1010
Mailing address
11824 BELLEVILLE RD, BELLEVILLE, MI 48111
(734) 699-1010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003289
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944729248
—
MI
Enumeration date
09/20/2006
Last updated
07/08/2007
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