Doctor Name: | MS. LINDA LYNN KENEFICK |
NPI Number: | 1013042423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OPTICIAN |
License Number: | 005262-1 |
Business Practice Address: | 2735 S Park Ave Lackawanna, NY - 142181531 |
Business Phone Number: | 7168269230 |
Business Fax Number: | 7168960171 |
Mailing Address: | 16 Lehigh St, BUFFALO |
State: | NY |
Postal Code: | 142062512 |
Phone Number: | 7168924914 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 005262-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |