Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN A KENNEDY, BCO
Active Sole ProprietorOcularist · TUSTIN, CA
Registration Details
- NPI Number
- 1841321478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2007 (19.127544096101 yrs)
- Last Updated
- Aug 1, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 EL CAMINO REALSUITE 101TUSTIN, CA, 927803668Browse CA providers · Browse ZIP 92780
- Phone
- 7145088565
- Fax
- 7147301894
- Primary Specialty
-
Ocularist
156FX1700X
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.