National Provider Identifier Database

DAVID L KENNEDY, OD – NPI #1437250073
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

DAVID L KENNEDY, OD
10600 OLD COUNTY ROAD 15
PLYMOUTH, MN55441-6210
Phone: 763-545-8850
Fax: 763-544-1257
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X

* Indicates primary specialty

NPI Profile & details for DAVID L KENNEDY

NPI Number 1437250073
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/26/2006
Last updated 12/10/2008 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: LD1587000
  • MN License #: LF1587000
  • MN Medicaid: 963723100
  • MN Other: 417R6KE BCBS
  • MN Other: 2202707 MEDICA
  • MN Other: 977521011194 PREFERRED ONE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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