Individual
DR. KENNETH HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3225 TOWNE CENTRE BLVD, LANSING, MI 48912-5620
(517) 487-9166
Mailing address
3225 TOWNE CENTRE BLVD, LANSING, MI 48912-5620
(517) 487-9166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004504
MI
Other
Enumeration date
12/16/2008
Last updated
12/29/2018
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