MR. KENNETH CHARLES PRUYN JR.


Address: 1 Repton Pl Unit 1401, Watertown, MA 02472-2490
Phone: 8006526683

MR. KENNETH CHARLES PRUYN JR. (NPI# 1710167804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710167804
Entity Type Individual
Full Name MR. KENNETH CHARLES PRUYN JR.
Practice Address 1 Repton Pl Unit 1401
Watertown
MA 02472-2490
Mailing Address 5 Meadowlark Dr
Middleboro
MA 02346-5401
Practice Telephone 8006526683
Practice Fax Number 7742139002
Mailing Telephone 8006526683
Mailing Fax Number 7742139002
Enumeration Date 2007-11-06
Last Update Date 2016-05-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 237700000X Hearing Instrument Specialist 254 MA Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUECROSS 316454 01
MA 1538136 05

Office Location

Street Address 1 REPTON PL UNIT 1401
City WATERTOWN
State MA
Zip Code 02472-2490

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548735327 Gladys Nakungu Kasansula Counselor Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 2018-10-09
1447741962 Hannah Edward Optometrist 550 Arsenal Street, Watertown, MA 02472 2018-05-21
1982193504 Ruth Audrey Silverstein Social Worker Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 2018-05-09
1376067355 Mostafa Medhati Acupuncturist 265 Lexington St., Watertown, MA 02472 2017-08-01
1003346313 Eric Trant Specialist/Technologist 50 Columbia Street, Watertown, MA 02472 2017-06-19
1477007730 Neangkanika Chea Nurse Practitioner 2 Repton Place, Apt 2204, Watertown, MA 02472 2016-08-04
1396128120 Michelle Soares Darocha Dentist 18 Hovey Street, Watertown, MA 02472 2015-06-29
1760875496 Ece Evin Yildirim Acupuncturist 557 Mt. Auburn St, Watertown, MA 02472 2015-03-05
1396140927 Fabrizia Torazzi Behavioral Analyst 51 Water Street, Suite 200, Watertown, MA 02472 2014-10-24
1265774392 Emilia Ann Fulop Social Worker 127 North Beacon Street, Watertown, MA 02472 2013-03-27
Find all providers in zip 02472

Taxonomy Information

Taxonomy Code 237700000X
Grouping Speech, Language and Hearing Service Providers
Classification Hearing Instrument Specialist

Taxonomy Definition

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639703226 William Hartman Hearing Instrument Specialist 20053 Summit View Blvd Ste 3, Watertown, NY 13601-2268 2020-02-24
1043751522 Advanced Hearing Technology LLC Hearing Instrument Specialist 2310 9th Ave Se, Watertown, SD 57201-7112 2017-03-16
1568721660 Ellen L Jobin Hearing Instrument Specialist 111 Chestnut Grove Rd, Watertown, CT 06795-1901 2012-05-09
1699929893 James Sneeden Hearing Instrument Specialist 1039 4th St Ne, Watertown, SD 57201-1203 2008-11-14
1639321904 Kurt W. Reder Hearing Instrument Specialist 1030 14th St Se, Watertown, SD 57201-5328 2008-10-17
1215115514 Beltone Albany Hearing Instrument Specialist 1116 Arsenal St Ste 502, Watertown, NY 13601-2229 2008-02-08
1033580774 Amy S Demar Hearing Instrument Specialist 727 Washington St, 2nd Floor, Watertown, NY 13601-6737 2015-10-07
1144600511 Jillian Stevens Hearing Instrument Specialist 123 Hospital Dr, Ste 112, Watertown, WI 53098-3331 2015-06-01
1174899579 Teresa Jean Robin Hearing Instrument Specialist 405 18th Ave Ne, Watertown, SD 57201-8630 2012-03-29
1932226040 Charles St James Hearing Instrument Specialist 1116 Arsenal Street, Suite 502, Watertown, NY 13601 2007-03-23
Find all providers in WATERTOWN

Competitor

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City WATERTOWN
Zip Code 02472

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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