Mckenzie, Kenneth Mark
Mckenzie, Kenneth Mark is an individual health care provider with primary practice located at 1124 S Main St # 101, Corona CA 92882-4449. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mckenzie, Kenneth Mark can be contacted via phone (951) 737-6363.Contact Information
Primary practice address
1124 S Main St # 101
Corona CA 92882-4449
Phone: (951) 737-6363
Fax: (951) 272-6723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 6826T | California |
Profile Details
| NPI number | 1750324471 |
|---|---|
| LBN Legal business name | Mckenzie, Kenneth Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Mar 12th, 2009 - about 16 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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