DR. Kenneth L. Stack, O.D.

NPI #1093756371 in Albany, New York

Provider Information

NPI Number
1093756371
Entity Type
Individual
Name
DR. Kenneth L. Stack, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jun 9, 2006
Last Updated
Oct 24, 2011

Practice Location

Address
24 ROSEMONT ST
City
Albany
ZIP Code
12203-2405
Phone
(518) 438-6669

Specialties & Taxonomy Codes

Specialty
Optometrist

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