Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH CHARLES DETRING, O.D.
Active Sole ProprietorKENNETH CHARLES DETRING, O.D. is a Optometrist healthcare provider located in JACKSON, Missouri. NPI 1093797052 is currently active in the NPPES registry. Verify at CMS.
Optometrist · JACKSON, MO
Registration Details
- NPI Number
- 1093797052
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2005 (20.704755219979 yrs)
- Last Updated
- Feb 28, 2008
- License
-
TO2426 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1014 E JACKSON BLVDJACKSON, MO, 637552436Browse MO providers · Browse ZIP 63755
- Phone
- 5732432020
- Fax
- 5732436684
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in JACKSON, MO
| Name | Credential | NPI |
|---|---|---|
| E F MCDONALD JR. | OD | 1528006350 |
| DAVID BLIESE | — | 1336200617 |
| DR. JOEL FRANCIS ALLISON | O.D. | 1962664151 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.