Individual
KATHERINE GREER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
390 GUNTER AVE, GUNTERSVILLE, AL 35976
(256) 878-3024
Mailing address
PO BOX 12, GUNTERSVILLE, AL 35976-0012
(256) 878-3024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-D81-TA-A86
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191288
—
AL
Enumeration date
06/29/2017
Last updated
10/09/2020
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