Paul R. Kennedy OD
Optometrist in Lansing, MI(View on Map)
Full Name
Paul R Kennedy OD
NPI Number
1013063114
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/25/2007
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
4901003763
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 208177
2117 E GRAND RIVER AVE
City
Dallas
Lansing
State
TX
MI
Postal Code
75320-8177
48912-3231
Country
US
US
Telephone Number
(636) 200-4393
(517) 485-2213
Identifiers
Identifier
944801636
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/18/2021