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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528794716 | NPPES |
Arizona | MEDICAID | 136936 |
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