Individual
DR. KENT ALAN KORNEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
DR JENNIFER ANDREWS & ASSOC, THIRD AVE. & PINE ST, SEATTLE, WA 98181-0001
(206) 344-2020
Mailing address
9853 45TH AVE SW, SEATTLE, WA 98136-2710
(206) 420-1015
(206) 420-1015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007678
IL
Other
Enumeration date
04/16/2007
Last updated
02/24/2009
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