Individual
DR. KENNETH GLENN LAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4351 RIDGEMONT DR STE C, ABILENE, TX 79606-8747
(325) 668-7591
(325) 698-4547
Mailing address
4351 RIDGEMONT DR STE C, ABILENE, TX 79606-8747
(325) 668-7591
(325) 698-4547
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001274
TX
Other
Enumeration date
11/23/2016
Last updated
11/25/2016
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