Individual
KENNETH A GIUSTO
Active
Individual
KENNETH A GIUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5862-T2776
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000633789
ANTHEM
OH
05
—
2988343
—
OH
01
—
5862-T2776
OHIO LICENSE
OH
01
—
P00823294
RAILROAD MEDICARE
OH
Enumeration date
08/11/2009
Last updated
05/24/2012
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