Detring, Kenneth Charles
Detring, Kenneth Charles is an sole proprietor health care provider with primary practice located at 1014 E Jackson Blvd , Jackson MO 63755-2436. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Detring, Kenneth Charles can be contacted via phone (573) 243-2020.Contact Information
Primary practice address
1014 E Jackson Blvd
Jackson MO 63755-2436
Phone: (573) 243-2020
Fax: (573) 243-6684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO2426 | Missouri |
Profile Details
| NPI number | 1093797052 |
|---|---|
| LBN Legal business name | Detring, Kenneth Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Feb 28th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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