Stacy Kennedy OD

NPI 1720149016 - Optometrist - 152W00000X

NPI Details
NPI 1720149016
Gender Female
Enumeration Date 12/12/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1801 MANHATTAN BLVD
U
HARVEY LA, 70058-7300, US
Phone (504) 367-3930
Fax
Business Location
11103 WEST AVE
STE 6
SAN ANTONIO TX, 78213-1370, US
Phone (210) 524-6803
Fax (210) 524-6587
Toxanomy
Taxonomy Code 152W00000X
License State Louisiana
License Number 715
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According to our database, Stacy Kennedy OD NPI is 1720149016, taxonomy code is 152W00000X and license number is 715, license state is located at Louisiana. Stacy Kennedy OD physically located at 1801 Manhattan Blvd, Harvey LA, 70058-7300. NPI Number Stacy Kennedy OD has the Individual type.

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1720149016 NPI number is provided on an as is basis without warranty of any kind. 1720149016 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Kennedy OD are for informational purposes only.