Kenneth D Stults, OD

NPI #1982608865 in Creston, Iowa

Provider Information

NPI Number: 1982608865
Entity Type: Individual
Name: Kenneth D Stults, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 9, 2005
Last Updated: Nov 27, 2007

Practice Location

Address: 1610 W TOWNLINE ST
Address 2: STE 115
City: Creston
State: Iowa
ZIP Code: 50801-1064
Phone: (641) 782-7619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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