Dr Kenneth Carl Edberg, OD is a 
Optometrist based in Walkerton, Virginia. Dr Kenneth Carl Edberg is licensed to practice in Virginia (license number 0618001183) and his current practice location is 
854 Garnetts Mill Ln, Walkerton, Virginia. He can be reached at his office (for appointments etc.) via phone at 
(804) 769-2115.
NPI number for Dr Kenneth Carl Edberg is 1659465920 and his current mailing address is 854 Garnetts Mill Lane, Walkerton, Virginia. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659465920.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Kenneth Carl Edberg | 
|---|
| Gender | Male | 
|---|
| Speciality | Optometrist | 
|---|
| Location | 854 Garnetts Mill Ln, Walkerton, Virginia | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1659465920
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Kenneth Carl Edberg such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1659465920 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 152W00000X | Optometrist | 0618001183 (Virginia) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Carl Edberg is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Dr Kenneth Carl Edberg, OD 854 Garnetts Mill Lane,
 Walkerton, VA 23177-2045
 Ph: (804) 769-2115
 | Dr Kenneth Carl Edberg, OD 854 Garnetts Mill Ln,
 Walkerton, VA 23177-2045
 Ph: (804) 769-2115
 | 
		
		 
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