DR. Kenneth Douglas Common, O.D.
NPI #1851402085 in Olympia, Washington
Provider Information
- NPI Number
- 1851402085
- Entity Type
- Individual
- Name
- DR. Kenneth Douglas Common, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Aug 31, 2006
- Last Updated
- May 21, 2008
Practice Location
- Address
- 625 BLACK LAKE BLVD SW
- Address 2
- SUITE #110
- City
- Olympia
- State
- Washington
- ZIP Code
- 98502-5066
- Phone
- (360) 357-2544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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