Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH ROBERT TENNANT, OD
ActiveDR. KENNETH ROBERT TENNANT, OD is a Optometrist healthcare provider located in MADISON, Georgia. NPI 1578542221 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MADISON, GA
Registration Details
- NPI Number
- 1578542221
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2006 (20.583218791806 yrs)
- Last Updated
- Dec 11, 2009
- License
-
2045 (GA)
Practice Information
- Address
-
223 S MAIN STMADISON, GA, 306501351Browse GA providers · Browse ZIP 30650
- Phone
- 7063431876
- Fax
- 7063431877
- Primary Specialty
-
Optometrist
152W00000X
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.