Kennedy Vision Health Center, LLC

NPI #1033203963 in Plymouth, Minnesota

Provider Information

NPI Number: 1033203963
Entity Type: Organization
Organization Name: Kennedy Vision Health Center, LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 3, 2006
Last Updated: Aug 20, 2024

Practice Location

Address: 10600 OLD COUNTY ROAD 15
City: Plymouth
State: Minnesota
ZIP Code: 55441-6210
Phone: (763) 545-8850

Authorized Official

Name: DR. ANTHONY CHARLES TRAVERSE, O.D.
Title: DOCTOR
Phone: (763) 545-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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