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ROGER M KENNEDY OPTICIAN NPI 1851579403


NPI Information

NPI: 1851579403
Provider Name: ROGER M KENNEDY OPTICIAN
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1829 COTTMAN AVE
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 742-3597
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ROGER M KENNEDY OPTICIAN is a durable medical equipment medical supplies in Philadelphia, PA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ROGER M KENNEDY OPTICIAN NPI is 1851579403. The provider is registered as an organization entity type.

The provider's business location address is:

1829 COTTMAN AVE
PHILADELPHIA, PA
ZIP 19111-846
Phone: (215) 742-3597
Fax: (267) 345-0036

The provider's authorized official is Paul M Kennedy .
The authorized official title is Son Of Roger and has the following contact phone number (215) 742-3597.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10538390001MEDICARE NSCPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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