Groleau, Kenneth Laurence

Groleau, Kenneth Laurence is an individual health care provider with primary practice located at 225 Blanding Blvd. , Orange Park FL 32073. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Groleau, Kenneth Laurence can be contacted via phone (904) 276-4611.

Contact Information

Primary practice address
225 Blanding Blvd. Orange Park FL 32073
Phone: (904) 276-4611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X D03062 Florida

Profile Details

NPI number 1821452236
LBN Legal business name Groleau, Kenneth Laurence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2016
Last updated Apr 12th, 2016 - about 10 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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