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Individual

KENNETH EARL TRUMMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3111 W 6TH ST, LAWRENCE, KS 66049-3101
(785) 749-2020
Mailing address
3111 W 6TH ST, LAWRENCE, KS 66049-3101
(785) 749-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1852
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200617240A
KS
Enumeration date
07/24/2009
Last updated
05/16/2011
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