Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTINA TAN MICHELLE KENNEDY, O.D.
Active Sole ProprietorCHRISTINA TAN MICHELLE KENNEDY, O.D. is a Optometrist healthcare provider located in FORT WAYNE, Indiana. NPI 1154480911 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1154480911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 7, 2006 (19.665921544913 yrs)
- Last Updated
- May 3, 2019
- Licenses
-
OPT002409 (GA)4901004315 (MI)2916 (TN)18003936AB (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6709 W JEFFERSON BLVDFORT WAYNE, IN, 468046209Browse IN providers · Browse ZIP 46804
- Phone
- 2604328409
- Fax
- 2604840616
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
Other Optometrist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN A. WHITELEATHER | OD | 1497758395 |
| DAWN D. FREDERICKSON | O.D. | 1760489009 |
| DR. JAMES ERVIN BLUME | O.D. | 1831197276 |
| DR. MONA RUTH DEWART | O.D. | 1306844501 |
| DR. MARTIN R. WHITE | O.D. | 1003816943 |
| DR. KURT W. DOUGHERTY | OD | 1295727519 |
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.