KENNETH CHARLES DETRING

JACKSON, MO
NPI1093797052
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MO  TO2426)
Enumeration Date2005-11-16
Last Update Date2008-02-28
Business Address
-- KENNETH CHARLES DETRING O.D.
1014 E JACKSON BLVD
JACKSON, MO 63755-2436
Phone number: 573-243-2020
Mailing Address
-- KENNETH CHARLES DETRING O.D.
PO BOX 510
JACKSON, MO 63755-0510
Phone number: 573-243-2020
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