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Individual

DR. KENNETH B FOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
32987 WOODWARD AVE, ROYAL OAK, MI 48073-0958
(248) 549-9080
(248) 549-4770
Mailing address
32987 WOODWARD AVE, ROYAL OAK, MI 48073-0958
(248) 549-9080
(248) 549-4770

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002904
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4901002904
OD LICENSE #
MI
05
941742068
MI
Enumeration date
10/07/2005
Last updated
03/04/2011
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