Kenneth W. Hardy O.d., Inc.

NPI 1205872736 - Optometrist - 152W00000X

NPI Details
NPI 1205872736
Enumeration Date 06/22/2006
Last Updated 11/07/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH WILLIAM KENNETH
Position PRESIDENT
Phone (714) 962-6601
Fax (714) 965-0943
Practice Location
19126 MAGNOLIA ST
SUITE 105
HUNTINGTON BEACH CA, 92646-2235, US
Phone (714) 962-6601
Fax (714) 965-0943
Business Location
19126 MAGNOLIA ST
SUITE 105
HUNTINGTON BEACH CA, 92646-2235, US
Phone (714) 962-6601
Fax (714) 965-0943
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 8242T
Remove 1205872736 NPI Number
 

According to our database, Kenneth W. Hardy O.d., Inc. NPI is 1205872736, taxonomy code is 152W00000X and license number is 8242T, license state is located at California. Kenneth W. Hardy O.d., Inc. physically located at 19126 Magnolia St, Huntington Beach CA, 92646-2235. NPI Number 1033115704 has the healthcare provider type.

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1205872736 NPI number is provided on an as is basis without warranty of any kind. 1205872736 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth W. Hardy O.d., Inc. are for informational purposes only.