Tyler Brent Kennedy, O.D. Valid NPI

Individual provider · Optometrist · Manhattan, KS

NPI

1457607426

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

1935 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2012-07-27

Last updated

2017-05-03