Individual
MR. KENNETH R DELLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 N VINE ST, EL DORADO, KS 67042-2030
(316) 321-4331
(316) 321-4391
Mailing address
323 N VINE ST, EL DORADO, KS 67042-2030
(316) 321-4331
(316) 321-4391
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
17103
KS
Other
Enumeration date
07/21/2006
Last updated
03/13/2008
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