Organization
KENNEDY & PERKINS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L. KENNEDY JR. LICENSED OPTICIAN (VICE-PRESIDENT)
(203) 624-3145
Entity
Organization
Contact information
Practice address
80 WHITNEY AVE, NEW HAVEN, CT 06510-1217
(203) 624-3145
(203) 867-8733
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
001178
CT
335E00000X
Prosthetic/Orthotic Supplier
001178
CT
Other
Enumeration date
11/20/2006
Last updated
03/17/2011
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