Organization
KENNYS OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JOHN KANE C.O. (CERTIFIED OPTICIAN/OWNER)
(517) 780-9073
Entity
Organization
Contact information
Practice address
762 W MICHIGAN AVE, SUITE D, JACKSON, MI 49201-1978
(517) 780-9073
(517) 780-9673
Mailing address
762 W MICHIGAN AVE, SUITE D, JACKSON, MI 49201-1978
(517) 780-9073
(517) 780-9673
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5100005993800044100
MI
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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