Individual
KENNETH VANAMERONGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1209 W EISENHOWER BLVD, LOVELAND, CO 80537-3128
(970) 667-3445
(970) 667-8426
Mailing address
1209 W EISENHOWER BLVD, LOVELAND, CO 80537-3128
(970) 667-3445
(970) 667-8426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1449
CO
Other
Enumeration date
03/22/2007
Last updated
11/07/2008
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