NPI 1013063114

Paul R Kennedy, OD

Practitioner Optometrist Lansing, MI

Practice location

Address: 2117 E Grand River Ave, Lansing, MI 48912-3231
Phone: (517) 485-2213
Fax: (517) 485-2220
Mailing address: PO Box 208177, Dallas, TX 75320-8177

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901003763 (MI)

Other Optometrist providers in Michigan →

Registry record

NPI: 1013063114
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2007
Record last updated: 18 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.