Robert B Kennedy (NPI# 1023000312, PAC ID# 7113035353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1023000312 |
| PAC ID by PECOS | 7113035353 |
| Professional Enrollment ID | I20120220000736 |
| Full Name | Robert B Kennedy |
| Organization Legal Name | KENNEDY EYE ASSOCIATES |
| Address |
1790 Lexington Ave N Roseville MN 55113-6167 |
| Phone Number | 6514886771 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4587642285 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1790 Lexington Ave N, Roseville, MN 55113-6167 | 6514886771 | KENNEDY EYE ASSOCIATES |
| Organization Legal Name | KENNEDY EYE ASSOCIATES |
| Physicians | 1 |
| Street Address |
1790 LEXINGTON AVE N |
| City | ROSEVILLE |
| State | MN |
| Zip | 55113-6167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari Linnae Maffitt | Optometry | 1790 Lexington Ave N, Roseville, MN 55113-6167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefano M Sinicropi | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Matthew C Hawkins | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Eric S Salman | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Glenn R Buttermann | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Daniel P Sipple | Physical Medicine and Rehabilitation | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Phillip Charles Stewart | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Grady J Glynn | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Tonya M Wells | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Caroline A Mason | Family Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Rocklin A Shir | Emergency Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Find all physicians in zip 55113 | |||
| City | ROSEVILLE |
| Zip Code | 55113 |
| Specialty | OPTOMETRY |
| City + Specialty | ROSEVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Robert B Kennedy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.