Kennedy Vision Health Center, LLC

NPI #1255165932 in Otsego, Minnesota

Provider Information

NPI Number: 1255165932
Entity Type: Organization
Organization Name: Kennedy Vision Health Center, LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 27, 2024
Last Updated: Aug 27, 2024

Practice Location

Address: 9075 QUANTRELLE AVE NE STE 300
City: Otsego
State: Minnesota
ZIP Code: 55330-0139
Phone: (763) 545-8850

Authorized Official

Name: DR. ANTHONY CHARLES TRAVERSE, OD
Title: OD/OWNER
Phone: (763) 545-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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