Individual
DR. KENNETH MARTIN GOSSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4540 E GRANT RD, TUCSON, AZ 85712-2617
(520) 323-0022
Mailing address
4540 E GRANT RD, TUCSON, AZ 85712-2617
(520) 323-0022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
478
AZ
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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