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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 237700000X | Hearing Instrument Specialist | 254 | MA | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BLUECROSS | 316454 | 01 |
MA | 1538136 | 05 |
Street Address |
1 REPTON PL UNIT 1401 |
City | WATERTOWN |
State | MA |
Zip Code | 02472-2490 |
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 Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
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 |
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 |
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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.