Kennedy Belangee, OD
Optometrist in Augusta, GA. Individual provider (NPI-1).
NPI number1255011060
StatusActive
Last updated in NPPESAug 22, 2024
Details
- NPI
- 1255011060
- Entity type
- Individual (NPI-1)
- Name
- Kennedy Belangee
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2023
- Certification date
- Aug 22, 2024
- Last updated
- Aug 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT003568 | GA | Yes |
| 152W00000X | Optometrist | 2466 | SC | |
| 152W00000X | Optometrist | 18004440A | IN |
Practice location
1330 Interstate PkwyAugusta, GA 30909-5625
Phone 706-651-2020
Mailing address
1330 Interstate PkwyAugusta, GA 30909-5625
Phone 706-651-2020
Other practice locations
1140 W Royerton Rd
Muncie, IN 47303-9426
Muncie, IN 47303-9426
Phone 765-717-4262
792 Silver Bluff Rd
Aiken, SC 29803-6055
Aiken, SC 29803-6055
Phone 803-642-9902
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