Individual
DR. KENNETH D BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2420 S BABCOCK ST, MELBOURNE, FL 32901-5356
(321) 725-4755
(321) 725-4755
Mailing address
2420 S BABCOCK ST, MELBOURNE, FL 32901-5356
(321) 725-4755
(321) 725-4755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0002747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38200
BCBS
FL
01
—
38200A
BCBS
FL
Enumeration date
01/19/2006
Last updated
02/13/2008
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