Individual
DR. KENNETH FRED NUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
31 WATER ST, HALLOWELL, ME 04347-1440
(207) 622-3015
(207) 622-1299
Mailing address
31 WATER ST, HALLOWELL, ME 04347-1440
(207) 622-3015
(207) 622-1299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT593
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115450099
—
ME
Enumeration date
12/18/2007
Last updated
12/18/2007
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