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Organization

KENNEDY EYECARE LLC

Active
Parent organization
KENNEDY EYECARE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KENNEDY EYECARE, LLC
Authorized official
CRAIG KENNEDY O.D. (DOCTOR)
(918) 429-1400
Entity
Organization

Contact information

Practice address
1722 W LIBERTY RD, ATOKA, OK 74525-7452
(580) 292-0144
(580) 292-0142
Mailing address
1400 E WADE WATTS AVE, MCALESTER, OK 74501-5652
(918) 429-1400

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
03/01/2023
Last updated
03/01/2023
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