Individual provider · NPI-1

Dr. Kenneth B Foon, O.D.

Optometrist · Royal Oak, MI

NPI number1497743108
StatusActive
Last updated in NPPESMar 4, 2011

Details

NPI
1497743108
Entity type
Individual (NPI-1)
Name
Dr. Kenneth B Foon
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 7, 2005
Last updated
Mar 4, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4901002904MIYes

Practice location

32987 Woodward Ave
Royal Oak, MI 48073-0958

Phone 248-549-9080 · Fax 248-549-4770

Mailing address

32987 Woodward Ave
Royal Oak, MI 48073-0958

Phone 248-549-9080 · Fax 248-549-4770

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