Dr. Kenneth David Boltz, O.D.
Optometrist in Dublin, OH. Individual provider (NPI-1).
NPI number1699767632
StatusActive
Last updated in NPPESJan 20, 2017
Details
- NPI
- 1699767632
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth David Boltz
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2005
- Last updated
- Jan 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OH3782 | OH | Yes |
Practice location
5775 Perimeter DrSte 160
Dublin, OH 43017-3257
Phone 614-763-5775 · Fax 614-675-3338
Mailing address
5775 Perimeter DrSte 160
Dublin, OH 43017-3257
Phone 614-763-5775 · Fax 614-675-3338
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