Individual
KENNETH QUAN PHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2795 S COLORADO BLVD, DENVER, CO 80222-6601
(303) 782-0470
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
15149
CA
152W00000X
Optometrist
Primary
OPT.0003285
CO
Other
Enumeration date
04/14/2015
Last updated
05/08/2024
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