Devon Kennedy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

34233TLG Issued in CA

Practice address

44815 Fig Ave
Lancaster, CA 93534-3144

Phone

(661) 206-9753

Fax

(844) 897-3788

NPI assigned

Jun 28, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1245892397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934650420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44815 FIG AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343144",
            "telephone_number": "661-206-9753",
            "fax_number": "844-897-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30740 Russell Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913626399",
            "country_code": "US",
            "telephone_number": "818-879-1469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DEVON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34233TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augustine Abiodun Kehinde
• Diane L Kehrli, NP
• Aryka R Kellems
• Ashleigh Kemper, LVN
• Clive Dale Kennedy, PH.D.
• Jeremy Ryan Kennedy, RN
• Philip Douglas Kennedy, DC
• Kenneth W. Malone, DDS, PC
• Tararoth Pen Keo
• Mikayla Erin Kerchen

• Optometrist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.