Individual
DR. KENNETH RALPH KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 STATE RD, NORTH DARTMOUTH, MA 02747-3319
(508) 993-3023
(508) 993-3162
Mailing address
51 STATE RD, NORTH DARTMOUTH, MA 02747-3319
(508) 994-1400
(508) 910-2212
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39409
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042886
—
MA
05
—
7009538
—
RI
01
—
M09185
B/C B/S OF MASS
MA
Enumeration date
09/27/2005
Last updated
11/06/2013
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