Male or Other

Salim Kenetha

Optician in Sterling Heights, MI(View on Map)

Full Name

Salim Kenetha

NPI Number

1164932489

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/02/2017

Specialties

(Taxonomies)

Code

156FX1800X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

220452

Contact
Information

Purpose

Mailing
Location

Address

2001 15 MILE RD
2001 15 MILE RD

City

Sterling Heights
Sterling Heights

State

MI
MI

Postal Code

48310-4864
48310-4864

Country

US
US

Telephone Number

(586) 693-5060
(586) 693-5060

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/10/2022

Provider Address

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Male or Other

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Female

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