Kennedy, Honora E.

Kennedy, Honora E. is an individual health care provider with primary practice located at 9801 Dupont Ave S Ste 200 , Bloomington MN 55431-3200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Kennedy, Honora E. can be contacted via phone (952) 888-5800.

Contact Information

Primary practice address
9801 Dupont Ave S Ste 200 Bloomington MN 55431-3200
Phone: (952) 888-5800
Fax: (952) 567-6156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 31464 Minnesota

Profile Details

NPI number 1063474906
LBN Legal business name Kennedy, Honora E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Dec 20th, 2017 - about 7 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 1063474906 NPPES
Minnesota MEDICAID 829398800

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