Individual
KENNETH HEADINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7400 E ORCHARD RD, SUITE 175-S, GREENWOOD VILLAGE, CO 80111-2528
(303) 850-9499
(303) 850-7032
Mailing address
7400 E ORCHARD RD, SUITE 175-S, GREENWOOD VILLAGE, CO 80111-2528
(303) 850-9499
(303) 850-7032
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
0002967
CO
Other
Enumeration date
07/10/2013
Last updated
08/29/2013
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