Individual provider · Type 1 NPI
Kennedy Hall, OD
Pediatric Optometrist · Phoenix, AZ
NPI number
1528794716
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Other practice locations
- 3370 S Mercy Rd, Gilbert, AZ 85297-0414 · (602) 933-5437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | OTP-002611 (AZ) |
| Pediatric Optometrist Primary | 152WP0200X | OTP-002611 (AZ) |
Pediatric Optometrist: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
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About NPI 1528794716
Kennedy Hall, OD's National Provider Identifier is 1528794716, issued on Jul 28, 2022. The primary taxonomy on file is Pediatric Optometrist (152WP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 18, 2023.