Individual
DR. PAUL WALTER KENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
108 N MAIN ST, PLYMOUTH, MI 48170-1236
(734) 453-8450
(734) 453-6347
Mailing address
108 N MAIN ST, PLYMOUTH, MI 48170-1236
(734) 453-8450
(734) 453-6347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002510
MI
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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