Individual
DR. KENNETH STANLEY KATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
844 FLATBUSH AVE, BROOKLYN, NY 11226-3189
(718) 941-8585
Mailing address
89 SEELEY ST, BROOKLYN, NY 11218-1011
(917) 620-1081
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3825-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02385817
—
NY
Enumeration date
06/13/2006
Last updated
12/14/2007
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