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Individual

ROVENA R KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDO

Contact information

Practice address
3050 E STATE ROUTE 69, PRESCOTT, AZ 86301-6740
(928) 445-3933
(928) 443-8056
Mailing address
1365 WARBLER WAY, PRESCOTT, AZ 86305-5849
(928) 503-9975

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO-002414
AZ

Other

Enumeration date
04/07/2025
Last updated
04/07/2025
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