Kenneth Charles Detring O.D.

  • 1093797052 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for Kenneth Charles Detring O.D. is 1093797052 and actived since Wednesday, November 16 2005. Kenneth Charles Detring O.D. is an individual provider specializes in Optometrist, primary practice location is 1014 E Jackson Blvd, Jackson, MO 63755. You can also contact Kenneth Charles Detring O.D. via telephone number is (573) 243-2020. Provider NPI information was last updated on 02/28/2008.

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Overview of Kenneth Charles Detring O.D.

  • NPI number: 1003475005
  • Provider type: Individual
  • Specialty: Optometrist
  • Gender: Male
  • Active since: 11/16/2005
  • Last updated: 02/28/2008

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: TO2426
  • License State: MO

Provider Mailing Address

  • Address: Po Box 510
    Jackson, MO 63755
  • Phone: 573-243-2020
  • Fax: 573-243-6684

Provider Practice Location

  • Address: 1014 E Jackson Blvd
    Jackson, MO 63755
  • Phone: 573-243-2020
  • Fax: 573-243-6684

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: TO2426
  • License State: MO
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Kenneth Charles Detring O.D.?
  • A: The npi number for Kenneth Charles Detring O.D. is 1093797052.
  • Q: What are Kenneth Charles Detring O.D.'s specialties?
  • A: Kenneth Charles Detring O.D.'s specialties are Optometrist and different specialities.
  • Q: What is the medical license for Kenneth Charles Detring O.D.?
  • A: The medical license number for Kenneth Charles Detring O.D. is TO2426 and issued in MO in USA.
  • Q: Where is Kenneth Charles Detring O.D. practice location?
  • A: Kenneth Charles Detring O.D. is practicing at 1014 E Jackson Blvd, Jackson, MO 63755.
  • Q: How to contact Kenneth Charles Detring O.D.?
  • A: You can contact Kenneth Charles Detring O.D. via 573-243-2020.