| NPI | 1033203963 |
|---|---|
| Doing Business As | KENNDY VISION HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHARLES TRAVERSE Doctor 763-545-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-08-20 |