KENNETH DETRING, O.D.

Optometrist

Active Individual
NPI: 1093797052

Practice Address

1014 E JACKSON BLVD
Jackson, MO 63755

Phone: (573) 243-2020

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes TO2426 (MO)

Frequently Asked Questions

NPI 1093797052 is the National Provider Identifier for KENNETH DETRING, O.D., a Optometrist provider located in Jackson, MO. This NPI was enumerated on November 16, 2005.
KENNETH DETRING, O.D. practices at 1014 E JACKSON BLVD, Jackson, MO 63755.

Quick Facts

NPI
1093797052
Type
Individual
Enumerated
Nov 16, 2005
Last Updated
Feb 28, 2008

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