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NPI Profile for KENNETH MELTON in SHELTON, CT.
A broad category grouping different kinds of technologists and technicians. See individual definitions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Technician/Technologist |
156F00000X | |||
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1922233329 |
|
| Status | Active | |
| Credentials | L.O. | |
| Entity | Individual | |
| Enumeration date | 05/29/2009 | |
| Last updated | 05/29/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KENNETH MELTON
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