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Mr. John A Kennedy, BCO
Ocularist in Tustin, California
NPI 1841321478

John A Kennedy is a Ocularist based in Tustin, CA and is specialized in Ocularist. John A Kennedy practices in Tustin, CA and has the professional credentials of BCO. The NPI Number for John A Kennedy is 1841321478 and holds a License No. (California).

The current practice location address for John A Kennedy is 150 El Camino Real, Tustin, CA and can be reached out via phone at 714-508-8565 and via fax at 714-730-1894.

Location: 150 El Camino Real, Tustin, CA, 92780-3668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841321478
Provider Name
John A Kennedy
Credential
BCO
Provider Entity Type
Individual
Gender
Male
Address
150 El Camino Real, Tustin, CA, 92780-3668
Phone Number
714-508-8565
Fax Number
714-730-1894
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DXX00009F 05 CA
institution
Provider Business Practice Location Address Details
Address
150 El Camino Real
City
Tustin
State
California
Zip
92780-3668
Phone Number
714-508-8565
Fax Number
714-730-1894
person
Provider Business Mailing Address Details
Address
150 El Camino Real
City
Tustin
State
California
Zip
92780-3668
Phone Number
714-508-8565
Fax Number
714-730-1894
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
()
Definition
Definition to come...
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