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Individual

KENT A KARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1550 OAK ST, SUITE #3, EUGENE, OR 97401-7701
(541) 683-2020
(541) 683-1509
Mailing address
1550 OAK ST, SUITE #3, EUGENE, OR 97401-7701
(541) 683-2020
(541) 683-1509

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 22688
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180040730
RAILROAD MEDICARE
01
180043374
RAILROAD MEDICARE
05
288291
OR
Enumeration date
07/12/2005
Last updated
06/11/2012
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