Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH LAURENCE GROLEAU
ActiveKENNETH LAURENCE GROLEAU is a Optician, Dispensing healthcare provider located in ORANGE PARK, Florida. NPI 1821452236 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · ORANGE PARK, FL
Registration Details
- NPI Number
- 1821452236
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2016 (10.35950183718 yrs)
- Last Updated
- Apr 12, 2016
- License
-
D03062 (FL)
Practice Information
- Address
-
225 BLANDING BLVD.ORANGE PARK, FL, 32073Browse FL providers · Browse ZIP 32073
- Phone
- 9042764611
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in ORANGE PARK, FL
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM GEORGE DAMM | — | 1376546671 |
| JARED ALLEN | — | 1528871795 |
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.