KENNETH R MOULTRIE

HUNTSVILLE, AL
NPI1376515361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AL  S536TA063)
Enumeration Date2006-02-03
Last Update Date2017-02-02
Business Address
-- KENNETH R MOULTRIE OD
600 WASHINGTON ST NW
HUNTSVILLE, AL 35801-4751
Phone number: 256-533-6838
Mailing Address
-- KENNETH R MOULTRIE OD
15933 CLAYTON RD SUITE 201
BALLWIN, MO 63011-2172
Phone number: 636-200-4393