Individual
DR. KENNETH J SANDKER
Active
Individual
DR. KENNETH J SANDKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3308
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000367947
ANTHEM
OH
01
—
141478
COLE MANAGED VISION
OH
01
—
71115
DAVIS VISION
OH
Enumeration date
02/23/2007
Last updated
12/03/2013
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