Organization
KENNEDY & PERKINS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L KENNEDY JR. LDO (VICE PRESIDENT)
(203) 624-3145
Entity
Organization
Contact information
Practice address
1957 WHITNEY AVE, NORTH HAVEN, CT 06473-4432
(203) 281-0290
(203) 248-6503
Mailing address
80 WHITNEY AVE, NEW HAVEN, CT 06510-1217
(203) 624-3145
(203) 867-8733
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001026
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001213
OPTICIAN
CT
05
—
004036372
—
CT
Enumeration date
03/14/2011
Last updated
03/14/2011
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