Christina Tan Michelle Kennedy, O.D.

NPI #1154480911 in Fort Wayne, Indiana

Provider Information

NPI Number: 1154480911
Entity Type: Individual
Name: Christina Tan Michelle Kennedy, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 7, 2006
Last Updated: May 3, 2019

Practice Location

Address: 6709 W JEFFERSON BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46804-6209
Phone: (260) 432-8409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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