Organization
KENNETH L. BURKE, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L. BURKE O.D. (OPTOMETRIST)
(203) 263-3391
Entity
Organization
Contact information
Practice address
175 MAIN ST S, WOODBURY, CT 06798-3448
(203) 263-3391
Mailing address
PO BOX 384, WOODBURY, CT 06798-0384
(203) 263-3391
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
11/03/2009
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