Individual
MR. KENNETH CHARLES PRUYN JR.
Active
Individual
MR. KENNETH CHARLES PRUYN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
254
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538136
—
MA
01
—
316454
BLUECROSS
MA
Enumeration date
11/06/2007
Last updated
10/10/2025
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