Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT BACH KENNEDY, OD
ActiveDR. ROBERT BACH KENNEDY, OD is a Optometrist healthcare provider located in ROSEVILLE, Minnesota. NPI 1023000312 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ROSEVILLE, MN
Registration Details
- NPI Number
- 1023000312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2005 (20.941833977615 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LD1699000 (MN)
Practice Information
- Address
-
1790 LEXINGTON AVE NROSEVILLE, MN, 551136167Browse MN providers · Browse ZIP 55113
- Phone
- 6514886771
- Fax
- 6514885576
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in ROSEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| COURTLAND J WATSON | OD | 1093749434 |
| DR. YER VANG | OD | 1649365982 |
| DR. THOMAS JOSEPH MEYER | OD | 1265500730 |
| DR. DAVID JOHN HANSEN | OD | 1710047865 |
| TREVOR MOX | OD | 1619031002 |
| DR. SHARI MARIE ANDERSON | OD | 1639699846 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.