Kenneth Francis Van, OD

NPI #1982191110 in Simi Valley, California

Provider Information

NPI Number: 1982191110
Entity Type: Individual
Name: Kenneth Francis Van, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 13, 2018
Last Updated: Apr 13, 2018

Practice Location

Address: 5729 NUTWOOD CIR
City: Simi Valley
State: California
ZIP Code: 93063-3566
Phone: (805) 587-3693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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