Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH DELTON HARTZOG, OD
Active Sole ProprietorDR. KENNETH DELTON HARTZOG, OD is a Optometrist healthcare provider located in GADSDEN, Alabama. NPI 1710063953 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GADSDEN, AL
Registration Details
- NPI Number
- 1710063953
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.759722636545 yrs)
- Last Updated
- Dec 19, 2013
- Licenses
-
S357TA046 (AL)OPT000791 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
249 SOUTH 6TH STREETGADSDEN, AL, 359014102Browse AL providers · Browse ZIP 35901
- Phone
- 2565464647
- Fax
- 2565464272
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in GADSDEN, AL
| Name | Credential | NPI |
|---|---|---|
| KELLY A BLOUNT | O.D. | 1740211697 |
| DR. JOHN MARK COOPER | O.D. | 1467487819 |
| DR. CHARLES DAVID BURTON | OD | 1407951320 |
| DR. JAY MICHAEL JOHNSON | O.D. | 1225108103 |
| DR. ROBERT PATRICK KLINGENBECK | O.D. | 1952570988 |
| DR. ANNA LESSLEY DAVIS | O.D. | 1043526445 |
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.