Provider Demographics
NPI:1811030570
Name:GEE, KENNETH SCOTT (OD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:SCOTT
Last Name:GEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5100 CLAYTON RD
Mailing Address - Street 2:30
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3139
Mailing Address - Country:US
Mailing Address - Phone:925-825-1090
Mailing Address - Fax:925-825-1095
Practice Address - Street 1:5100 CLAYTON RD
Practice Address - Street 2:30
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3139
Practice Address - Country:US
Practice Address - Phone:925-825-1090
Practice Address - Fax:925-825-1095
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA11469T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist