Individual
DR. WENDY A KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1067 4TH ST NE STE 250, BYRON, MN 55920-5004
(507) 775-2001
(507) 775-0072
Mailing address
1067 4TH ST NE STE 350, BYRON, MN 55920-5004
(507) 775-2001
(507) 775-0072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2995
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216982700
—
MN
01
—
2202645
MEDICA/UNITED HEALTH CARE
MN
01
—
2300761
AMERICA'S PPO
MN
01
—
434L3KE
BC/BS
MN
01
—
MN2995
EYEMED
MN
Enumeration date
03/08/2006
Last updated
09/02/2022
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