Individual
DR. KENNETH MITCHELL DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
352 PALMER RD, WARE, MA 01082-9740
(413) 697-7561
(508) 819-3035
Mailing address
701 CENTER ST, LUDLOW, MA 01056-1467
(413) 967-7561
(508) 819-3035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3066
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001349
HEALTH NET
MA
01
—
0015599
NHP
MA
05
—
0350842
—
MA
Enumeration date
10/12/2006
Last updated
07/08/2008
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