Kenyon B Anderson O.D.

NPI 1043280555 - Optometrist - 152W00000X

NPI Details
NPI 1043280555
Gender Male
Enumeration Date 01/25/2006
Last Updated 10/24/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2540 CHANNING WAY
IDAHO FALLS ID, 83404-7515, US
Phone (208) 529-2700
Fax (208) 529-0873
Business Location
2540 CHANNING WAY
IDAHO FALLS ID, 83404-7515, US
Phone (208) 529-2700
Fax (208) 529-0873
Toxanomy
Taxonomy Code 152W00000X
License State Idaho
License Number ODP-100087
Remove 1043280555 NPI Number
 

According to our database, Dr. Kenyon B Anderson O.D. NPI is 1043280555, taxonomy code is 152W00000X and license number is ODP-100087, license state is located at Idaho. Kenyon B Anderson O.D. physically located at 2540 Channing Way, Idaho Falls ID, 83404-7515. NPI Number Kenyon B Anderson O.D. has the Individual type.

Sponsored links

1043280555 NPI number is provided on an as is basis without warranty of any kind. 1043280555 is maintained by the National Plan & Provider Enumeration System. The contents of Kenyon B Anderson O.D. are for informational purposes only.