Kenzie, Paul Walter

Kenzie, Paul Walter is an sole proprietor health care provider with primary practice located at 108 N Main St , Plymouth MI 48170-1236. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kenzie, Paul Walter can be contacted via phone (734) 453-8450.

Contact Information

Primary practice address
108 N Main St Plymouth MI 48170-1236
Fax: (734) 453-6347
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002510 Michigan

Profile Details

NPI number 1144396227
LBN Legal business name Kenzie, Paul Walter
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 18 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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