Kenneth D Boltz Od LLC

NPI #1992155204 in Dublin, Ohio

Provider Information

NPI Number: 1992155204
Entity Type: Organization
Organization Name: Kenneth D Boltz Od LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 16, 2016
Last Updated: Jun 16, 2016

Practice Location

Address: 5775 PERIMETER DR
Address 2: SUITE 160
City: Dublin
State: Ohio
ZIP Code: 43017-3238
Phone: (614) 763-5775

Authorized Official

Name: DR. KENNETH D BOLTS, OD
Title: PRESIDENT
Phone: (614) 284-0794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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