Kenneth D. Common, OD, P.s.
Kenneth D. Common, OD, P.s. is a Clinic/Center in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
625 Black Lake Blvd SW Ste #110Olympia, WA 98502-5066
Phone: (360) 357-2544
Fax: (360) 357-6341
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Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 1155 (WA) |
|---|
Record details
| NPI number | 1811052798 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Common — President · (360) 357-2544 |
| NPI enumerated | December 22, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 625 Black Lake Blvd Sw, Suite #110, Olympia, WA 98502-5066 |
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