Kennedy Vision Health Center, Llc

NPI 1033203963 - Optometrist - 152W00000X

NPI Details
NPI 1033203963
Enumeration Date 10/03/2006
Last Updated 12/10/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANTHONY CHARLES ANTHONY
Position DOCTOR
Phone (763) 545-8850
Fax (763) 544-1257
Practice Location
10600 OLD COUNTY ROAD 15
PLYMOUTH MN, 55441-6210, US
Phone (763) 545-8850
Fax (763) 544-1257
Business Location
10600 OLD COUNTY ROAD 15
PLYMOUTH MN, 55441-6210, US
Phone (763) 545-8850
Fax (763) 544-1257
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Kennedy Vision Health Center, Llc NPI is 1033203963, taxonomy code is 152W00000X Kennedy Vision Health Center, Llc physically located at 10600 Old County Road 15, Plymouth MN, 55441-6210. NPI Number 1033115704 has the healthcare provider type.

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1033203963 NPI number is provided on an as is basis without warranty of any kind. 1033203963 is maintained by the National Plan & Provider Enumeration System. The contents of Kennedy Vision Health Center, Llc are for informational purposes only.