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Paul R Kennedy

Optometrist

2117 E Grand River Ave
Lansing , Michigan 48912-3231

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Paul R Kennedy

Optometrist

2117 E Grand River Ave
Lansing , Michigan 48912-3231

(636) 527-0766

Write a Review Save Call

Paul R Kennedy

Optometrist

2117 E Grand River Ave
Lansing , Michigan 48912-3231

(636) 527-0766 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Optometrist

Languages spoken

  • English

Location

2117 E Grand River Ave Lansing , Michigan 48912-3231

First Address

  • Paul R Kennedy
  • Po Box 208177
  • Dallas, TX
  • Zip : 75320-8177
  • Fax : (636) 527-0766
  • Phone : (636) 200-4393

Second Address

  • Paul R Kennedy
  • 2117 E Grand River Ave
  • Lansing, MI
  • Zip : 48912-3231
  • Fax : (517) 485-2220
  • Phone : (517) 485-2213

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FAQs


Where did Paul R Kennedy attend graduate school?

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Where did Paul R Kennedy do his residency?

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Where did Paul R Kennedy do his fellowship?

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Is Paul R Kennedy board certified?

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What type of doctor is Paul R Kennedy

Optometrist

In what state does Paul R Kennedy practice in?

Michigan

Where is Paul R Kennedy ’s practice located?

2117 E Grand River Ave , Lansing, Michigan, 48912-3231

What is Paul R Kennedy ’s gender?

Male

Is Paul R Kennedy a sole practitioner?

No

Is Paul R Kennedy accepting new patients?

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What languages does Paul R Kennedy speak?

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Does Paul R Kennedy accept insurance?

Yes, Paul R Kennedy accepts insurance

Does Paul R Kennedy offers telemedicine?

Paul R Kennedy has not indicated if he offers telemedicine

What is Paul R Kennedy ’s professional license number?

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What is Paul R Kennedy ’s NPI number?

1013063114

Does Paul R Kennedy have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 152W00000X Optometrist 4901003763 MI

National Provider Identifier

NPI 1013063114
Provider Name Paul R Kennedy
First Address Dallas, TX 75320-8177
Second Address Lansing, MI 48912-3231
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/01/2007
Last Update Date 18/01/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
944801636 (05) MI
U58302 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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