Individual
GLEN KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 E COMMERCIAL BLVD STE 101, FORT LAUDERDALE, FL 33308-4039
(954) 491-2560
(954) 488-2150
Mailing address
2450 E COMMERCIAL BLVD STE 101, FORT LAUDERDALE, FL 33308-4039
(954) 491-2560
(954) 488-2150
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS4106
FL
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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