Kennedy, Amy

Kennedy, Amy is an individual health care provider with primary practice located at 317 Long St , Ashville OH 43103-1333. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kennedy, Amy can be contacted via phone (740) 983-6171.

Contact Information

Primary practice address
317 Long St Ashville OH 43103-1333
Phone: (740) 983-6171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4754 Ohio

Profile Details

NPI number 1619016789
LBN Legal business name Kennedy, Amy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 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 1619016789 NPPES
Ohio MEDICAID 2507022

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