Kendall, Kenneth R.

Kendall, Kenneth R. is an individual health care provider with primary practice located at 425 W Central Ave Ste 102 , Lompoc CA 93436-2806. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kendall, Kenneth R. can be contacted via phone (805) 736-2020.

Contact Information

Primary practice address
425 W Central Ave Ste 102 Lompoc CA 93436-2806
Phone: (805) 736-2020
Fax: (805) 737-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT9482T California

Profile Details

NPI number 1700889532
LBN Legal business name Kendall, Kenneth R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700889532 NPPES
Other 1312330002 MEDICARE DMERC
Other P00190674 MEDICARE DMERC
MEDICAID SD0094820 MEDICARE DMERC

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