Individual
MR. BRUCE CLARK KENNEDY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
805 US HIGHWAY 27 S, CYNTHIANA, KY 41031-6888
(859) 234-6190
(859) 234-6190
Mailing address
805 US HIGHWAY 27 S, CYNTHIANA, KY 41031-6888
(859) 234-6190
(859) 234-6190
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110314
KY
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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