Individual
KENNETH W COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
341 COURT ST, PAINTSVILLE, KY 41240-1051
(606) 789-4675
(606) 789-3262
Mailing address
341 COURT ST, PAINTSVILLE, KY 41240-1051
(606) 789-4675
(606) 789-3262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
724DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77007243
—
KY
Enumeration date
10/24/2006
Last updated
07/08/2007
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