Individual
DR. KEVIN KOLENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5383
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
576
SD
152W00000X
Optometrist
TO3255
MO
Other
Enumeration date
02/17/2006
Last updated
07/26/2011
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