Individual
KENNETH COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
310 LOCUST ST # 6, PRINCETON, WV 24740-3625
(304) 487-2020
Mailing address
310 LOCUST ST # 6, PRINCETON, WV 24740-3625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2022-IOD1
WV
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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