Mallory Kennedy, O.D

NPI 1538511837 · on the registry since 2016 · sole proprietor

Practice

Address: 7379 Indiana Ave
Riverside, CA 92504
Phone: (951) 684-7822
Fax: (951) 977-8075
Organisation at this address: Fourth Optometric Care Of California
20/20 Vision Associates Optometry, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-08-06

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 California