Organization
MIDDLETOWN OPTICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LEE KENNEDY (SOLE MEMBER)
(502) 245-7491
Entity
Organization
Contact information
Practice address
121 VILLAGE SQ, LOUISVILLE, KY 40243-1420
(502) 245-7491
(502) 245-0581
Mailing address
121 VILLAGE SQ, LOUISVILLE, KY 40243-1420
(502) 245-7491
(502) 245-0581
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
299
KY
Other
Enumeration date
06/27/2008
Last updated
07/07/2008
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