Wendy A Kennedy is a Optometrist in Byron, Minnesota. Wendy A Kennedy practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Wendy A Kennedy is 1679541536. The last update date is 2022-09-02.
Wendy A Kennedy's current location address is 1067 4th St Ne Ste 350, Byron, Minnesota. You can contact this provider via phone number 5077752001 and fax number 5077750072. The mailing address for Wendy A Kennedy is 1067 4th St Ne Ste 350, Byron, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy A Kennedy |
|---|---|
| Address | 1067 4th St Ne Ste 350, Byron, Minnesota |
| Phone Number | 5077752001 |
| Fax Number | 5077750072 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1679541536 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2022-09-02 |
Provider Mailing Address Detail
| Address | 1067 4th St Ne Ste 350 |
|---|---|
| City | Byron |
| State | Minnesota (MN) |
| Post Code | 559205004 |
| Phone Number | 5077752001 |
| Fax Number | 5077750072 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | MN2995 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2300761 | MN | AMERICA'S PPO | |
| 2202645 | MN | MEDICA/UNITED HEALTH CARE | |
| 434L3KE | MN | BC/BS | |
| 216982700 | MN | -- | |
| MN2995 | MN | EYEMED |
Post Comment/ Review Below
What is the Wendy A Kennedy's 1679541536?
The Wendy A Kennedy's NPI (National Provider Identifier) Number is 1679541536. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wendy A Kennedy's physical address?
The Wendy A Kennedy is physically located at 1067 4Th St Ne Ste 350, in the city of Byron, MN, with the postal code 559205004.
What is the Wendy A Kennedy's specialty and taxonomy code?
The Wendy A Kennedy's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Wendy A Kennedy receive the assignment of its 1679541536 from the Centers for Medicare & Medicaid Services?
The Wendy A Kennedy was issued its 1679541536 by the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the information pertaining to Wendy A Kennedy most recently updated or revised?
The details related to Wendy A Kennedy, including its address, specialty, and other relevant information, were last updated or revised on 2022-09-02.