Individual
KEVIN T JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2743 MT PLEASANT ST, BURLINGTON, IA 52601-2137
(319) 754-2020
(319) 754-2299
Mailing address
2743 MT PLEASANT ST, BURLINGTON, IA 52601-2137
(319) 754-2020
(319) 754-2299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1897
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058602
—
IA
01
—
410012433
RAILROAD MEDICARE
IA
Enumeration date
01/03/2006
Last updated
04/03/2012
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