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Glen Kenyon

Hearing Instrument Specialist in Fort Lauderdale, FL. Individual provider (NPI-1).

NPI number1669015368
StatusActive
Last updated in NPPESOct 25, 2019

Details

NPI
1669015368
Entity type
Individual (NPI-1)
Name
Glen Kenyon
Sex
Male
Sole proprietor
No
Enumeration date
Oct 25, 2019
Last updated
Oct 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
237700000X Hearing Instrument SpecialistAS4106FLYes

Practice location

2450 E Commercial Blvd Ste 101
Fort Lauderdale, FL 33308-4039

Phone 954-491-2560 · Fax 954-488-2150

Mailing address

2450 E Commercial Blvd Ste 101
Fort Lauderdale, FL 33308-4039

Phone 954-491-2560 · Fax 954-488-2150

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