Organization Active NPI

Kristina Kennedy, O.D., LLC

  • Optometrist
  • Manhattan, KS
National Provider Identifier
1972901429
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1937 Issued in KS
Legal business name
KRISTINA KENNEDY, O.D., LLC
Practice address
809 N 3Rd St
Ste 200
Manhattan, KS 66502-5703
Phone
(785) 537-2020
Fax
(844) 537-2020
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Kristina Kennedy
Title
Optometrist
Phone
(785) 537-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1937 KS Primary

Addresses

Primary practice location

809 N 3Rd St
Ste 200
Manhattan, KS 66502-5703

Mailing address

809 N 3Rd St
Ste 200
Manhattan, KS 66502-5703
Phone (785) 537-2020

National Provider Directory

National Provider Directory

Locations

809 N 3rd St
Ste 200
Manhattan, KS 66502
Phone (785) 537-2020

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1972901429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N 3RD ST",
            "address_2": "STE 200",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025703",
            "telephone_number": "785-537-2020",
            "fax_number": "844-537-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N 3RD ST",
            "address_2": "STE 200",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025703",
            "telephone_number": "785-537-2020",
            "fax_number": "844-537-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA KENNEDY, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "785-537-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.