Kenneth Melton, L.O.

NPI #1922233329 in Shelton, Connecticut

Provider Information

NPI Number: 1922233329
Entity Type: Individual
Name: Kenneth Melton, L.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Credential: L.O.
Enumeration Date: May 29, 2009
Last Updated: May 29, 2009

Practice Location

Address: 465 BRIDGEPORT AVE
City: Shelton
State: Connecticut
ZIP Code: 06484-4751
Phone: (203) 926-1189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary
Technician/Technologist - Optician — Optician	156FX1800X

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