Kenneth Alan Rousselo, OD PC Valid NPI
Individual provider · Optometrist · Cary, NC
- NPI
- 1578530879
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 1466 (NC)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-03-06
- Last updated
- 2016-03-15
Practice location
258 Towne Village Dr
Cary, NC 27513-8910
(919) 467-4657