Individual
DR. KENNETH H KLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1162 N SHOOP AVE, WAUSEON, OH 43567-1818
(419) 335-3055
(419) 335-3065
Mailing address
PO BOX 374, WAUSEON, OH 43567-0374
(419) 335-3055
(419) 335-3065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2987T518
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003304
VISION SERVICE PLAN
OH
05
—
0168465
—
OH
01
—
03180
PARAMOUNT
OH
Enumeration date
06/24/2005
Last updated
10/19/2011
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