Organization
ROGER M KENNEDY OPTICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M KENNEDY (SON OF ROGER)
(215) 742-3597
Entity
Organization
Contact information
Practice address
1829 COTTMAN AVE, PHILADELPHIA, PA 19111-3846
(215) 742-3597
(267) 345-0036
Mailing address
1829 COTTMAN AVE, PHILADELPHIA, PA 19111-3846
(215) 742-3597
(267) 345-0036
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
Update your record
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