Organization · Type 2 NPI

Kenneth D. Common, O.d., P.s.

Clinic/Center · Olympia, WA

NPI number 1811052798 Active

Practice location

625 Black Lake Blvd SW, Suite #110
Olympia, WA 98502-5066

Call (360) 357-2544 Map

Fax (360) 357-6341

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X1155 (WA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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About NPI 1811052798

Kenneth D. Common, O.d., P.s.'s National Provider Identifier is 1811052798, issued on Dec 22, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Olympia, WA. The record was last updated on Aug 22, 2020.