Kenneth D Stults, OD
Optometrist in Creston, IA. Individual provider (NPI-1).
NPI number1982608865
StatusActive
Last updated in NPPESNov 27, 2007
Details
- NPI
- 1982608865
- Entity type
- Individual (NPI-1)
- Name
- Kenneth D Stults
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2005
- Last updated
- Nov 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 02061 | IA | Yes |
Practice location
1610 W Townline StSte 115
Creston, IA 50801-1064
Phone 641-782-7619 · Fax 641-782-6549
Mailing address
Po Box 427Creston, IA 50801-0427
Phone 641-782-7619 · Fax 641-782-6549
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All 12 Optometrist providers in Creston · All 196 providers in Creston
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