Provider Demographics
NPI:1871654103
Name:KUYKENDALL, RONALD FRANK (OD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:FRANK
Last Name:KUYKENDALL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9790 LA ESPERANZA AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3560
Mailing Address - Country:US
Mailing Address - Phone:714-963-3977
Mailing Address - Fax:
Practice Address - Street 1:18120 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6727
Practice Address - Country:US
Practice Address - Phone:714-963-8349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5168 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist