Individual
DR. KENNETH S CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6729 COLONNADE AVE STE 109, VIERA, FL 32940-6119
(321) 639-3649
(321) 639-3649
Mailing address
3213 MONITOR LN, INDIALANTIC, FL 32903-1829
(321) 693-5150
(863) 646-0210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2693
FL
Other
Enumeration date
12/29/2005
Last updated
04/04/2018
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