Hall, Kennedy

Hall, Kennedy is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Hall, Kennedy can be contacted via phone (602) 933-3937.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OTP-002611 Arizona
Eye and Vision Services Providers / Pediatrics 152WP0200X OTP-002611 Arizona

Profile Details

NPI number 1528794716
LBN Legal business name Hall, Kennedy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2022
Last updated Jul 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528794716 NPPES
Arizona MEDICAID 136936

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