Kennedy, Lisa A
Kennedy, Lisa A is an individual health care provider with primary practice located at 4515 Southlake Pkwy , Birmingham AL 35244-3317. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kennedy, Lisa A can be contacted via phone (205) 987-2020.Contact Information
Primary practice address
4515 Southlake Pkwy
Birmingham AL 35244-3317
Phone: (205) 987-2020
Fax: (205) 988-0588
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | S-987-TA-572 | Alabama |
Profile Details
NPI number | 1407822265 |
---|---|
LBN Legal business name | Kennedy, Lisa A |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2006 |
Last updated | Mar 7th, 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 | 1407822265 | NPPES |
Alabama | Other | S-987-TA-572 | AL BOARD OF OPTOMETRY |
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