Individual
DR. KENNETH H ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
821 N MAIN STREET EXT, WALLINGFORD, CT 06492-2464
(203) 265-5152
(203) 265-1562
Mailing address
821 NORTH MAIN STREET EXT, WALLINGFORD, CT 06492-4203
(203) 265-5152
(203) 265-1562
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2591
CT
Other
Enumeration date
11/14/2006
Last updated
07/27/2017
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