Organization
PAUL KENZIE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WALTER KENZIE OD (PRESIDENT)
(734) 453-8450
Entity
Organization
Contact information
Practice address
108 N MAIN ST, PLYMOUTH, MI 48170-1236
(734) 453-8450
(734) 453-6347
Mailing address
108 N MAIN ST, PLYMOUTH, MI 48170-1236
(734) 453-8450
(734) 453-6347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002510
MI
Other
Enumeration date
11/03/2005
Last updated
01/23/2009
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