Kenneth Charles Detring, O.D.

NPI #1093797052 in Jackson, Missouri

Provider Information

NPI Number: 1093797052
Entity Type: Individual
Name: Kenneth Charles Detring, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 16, 2005
Last Updated: Feb 28, 2008

Practice Location

Address: 1014 E JACKSON BLVD
City: Jackson
State: Missouri
ZIP Code: 63755-2436
Phone: (573) 243-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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