Scott A Kennedy Od Pc in Titusville - Corneal And Contact Management
Scott A Kennedy Od Pc - NPI 1053529008
Scott A Kennedy Od Pc is a Corneal And Contact Management in Titusville, Pennsylvania. Scott A Kennedy Od Pc practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Scott A Kennedy Od Pc is 1053529008. The last update date is 2008-02-05.
Scott A Kennedy Od Pc's current location address is Po Box 285, Titusville, Pennsylvania. You can contact this provider via phone number 8148277931. The mailing address for Scott A Kennedy Od Pc is Po Box 285, Titusville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scott A Kennedy Od Pc |
|---|---|
| Address | Po Box 285, Titusville, Pennsylvania |
| Phone Number | 8148277931 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE BUSIN |
|---|---|
| Authorized Official Name | Kennedy A Scott |
| Credentials | OD PC |
| Telephone Number | 8148277931 |
NPI Number Detail
| NPI Number | 1053529008 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | Po Box 285 |
|---|---|
| City | Titusville |
| State | Pennsylvania (PA) |
| Post Code | 163540285 |
| Phone Number | 8148277931 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | OEG000659 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410042928 | PA | PALMETTO GBA |
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What is the unique identification code assigned to Scott A Kennedy Od Pc by the Centers for Medicare & Medicaid Services?
The Scott A Kennedy Od Pc has been issued the NPI (National Provider Identifier) 1053529008. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Scott A Kennedy Od Pc located?
The Scott A Kennedy Od Pc is located at Po Box 285, Titusville, PA 163540285.
What is the Scott A Kennedy Od Pc's specialty and taxonomy code?
The Scott A Kennedy Od Pc's specialty is Corneal And Contact Management, and the corresponding taxonomy code is 152Wc0802X.
On what date did the Scott A Kennedy Od Pc receive its 1053529008 assignment from the Centers for Medicare & Medicaid Services?
The Scott A Kennedy Od Pc was assigned its 1053529008 by the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date were the details pertaining to Scott A Kennedy Od Pc last refreshed?
The information related to the Scott A Kennedy Od Pc, including its address, specialty, and other relevant details, was last updated on 2008-02-05.
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