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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407822265 NPPES
Alabama Other S-987-TA-572 AL BOARD OF OPTOMETRY

Popular Providers