Individual
DR. SCOTT KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 NORTH AVE, SUITE 3, SPEARFISH, SD 57783-3028
(605) 642-4656
(605) 722-5622
Mailing address
809 UNIVERSITY ST, SPEARFISH, SD 57783-1821
(605) 717-1100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
592
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9201370
—
SD
Enumeration date
03/08/2006
Last updated
01/14/2013
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