Nancy Ketring Kennedy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2315 Issued in MO

Practice address

633 Emerson Rd
Creve Coeur, MO 63141-6739

Phone

(314) 872-7744

Fax

(314) 872-9358

NPI assigned

Dec 21, 2009

Last updated

Dec 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harry C Eggleston MD PC II

  dba eagle eye care

  • Ophthalmology Physician
  • Creve Coeur, MO
  • NPI 1194906156
  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1437488400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-872-7744",
            "fax_number": "314-872-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-872-7744",
            "fax_number": "314-872-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "NANCY",
        "middle_name": "KETRING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbe Michelle Keen, D.C.
• Dennis J Keithly, MD
• Breanna Lynn Keller, MSCCC-SLP
• Allison Kelley, OTR/L
• Robert Francis Kelly, PA-C
• Saad Z Khan, M.D.
• Sunna Khan, MD
• Aisha Khorana, M.ED., PLPC
• Johnny Kim, LCSW
• Emily Michelle Kimbel, M.A., CCC-SLP

• Optometrist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.