Christina Kennedy, O.D

NPI 1154480911 · on the registry since 2006 · sole proprietor

Practice

Address: 6709 W Jefferson Blvd
Fort Wayne, IN 46804
Phone: (260) 432-8409
Fax: (260) 484-0616
Organisation at this address: C J Pataluch Od Pc
Longe Enterprises Corp
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 152W00000X
152W00000X
Also registered as: 152W00000X
152W00000X
152W00000X
Licence states on file: GA, MI, TN, IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana