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Contact Information

ROBERT E KENNEDY, OD
11824 BELLEVILLE RD
BELLEVILLE, MI48111
 Phone: 734-699-1010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROBERT E KENNEDY · (Male)

NPI # 1609974120
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901003289
  • MI Medicaid 944729248
Hospital affiliation(s) Not Available
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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