Timothy Michael Kennedy
NPI #1578256822 in Front Royal, Virginia
Provider Information
- NPI Number
- 1578256822
- Entity Type
- Individual
- Name
- Timothy Michael Kennedy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jun 1, 2023
- Last Updated
- Jun 1, 2023
Practice Location
- Address
- 10 RIVERTON COMMONS DR
- City
- Front Royal
- State
- Virginia
- ZIP Code
- 22630-6718
- Phone
- (540) 551-8157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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