Individual
KENNETH J ABSALONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Mailing address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60388400
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2010
Last updated
08/30/2021
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