Individual
MR. KENNETH CHARLES PRUYN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
67 FOREST ST STE 350-25, MARLBOROUGH, MA 01752-3195
(508) 794-3620
(508) 205-0291
Mailing address
20 BEAVER POND RD STE 201, MILFORD, MA 01757-3743
(508) 794-3620
(508) 205-0291
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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