Active NPIIndividual providerSole proprietor

Mr. Kenneth C Pruyn Jr.

Hearing Instrument Specialist in Marlborough, Massachusetts

NPI Number1710167804
Practice location
67 Forest St Ste 350-25, Marlborough, MA 01752-3195
Fax
508-205-0291
Last updated
October 10, 2025

Kenneth Charles Pruyn is a Hearing Instrument Specialist based in Marlborough, MA. Kenneth Charles Pruyn practices in Marlborough, MA. The NPI Number for Kenneth Charles Pruyn is 1710167804 and holds a License No. 254 (MA). The current practice location address for Kenneth Charles Pruyn is 67 Forest St Ste 350-25, Marlborough, MA 01752-3195 and can be reached out via phone at 508-794-3620 and via fax at 508-205-0291.

Provider Profile Details

NPI Number
1710167804
Provider Name
Kenneth Charles Pruyn
Provider Entity Type
Individual
Gender
Male
Address
67 Forest St Ste 350-25, Marlborough, MA 01752-3195
Phone Number
508-794-3620
Fax Number
508-205-0291
Primary Taxonomy
Hearing Instrument Specialist · 237700000X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2007
Last Update Date
October 10, 2025
Certification Date
October 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Forest St Ste 350-25
Marlborough, MA 01752-3195
Zip
01752-3195
Phone Number
508-794-3620
Fax Number
508-205-0291
Marlborough, MA 01752Get directions →

Provider Business Mailing Address Details

Address
20 Beaver Pond RD Ste 201
Milford, MA 01757-3743
City
Milford
State
MA
Zip
01757-3743
Phone Number
508-794-3620
Fax Number
508-205-0291

License Information

License Number
254
License State
MA
Taxonomy
Hearing Instrument Specialist · 237700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kenneth C Pruyn Jr.?

The NPI number of Mr. Kenneth C Pruyn Jr. is 1710167804. It was assigned on November 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Kenneth C Pruyn Jr.?

Mr. Kenneth C Pruyn Jr. is registered under the primary taxonomy Hearing Instrument Specialist (code 237700000X), licensed in MA under license number 254.

Where does Mr. Kenneth C Pruyn Jr. practice?

The practice location is 67 Forest St Ste 350-25, Marlborough, MA 01752-3195. The office can be reached at 508-794-3620 (phone) or 508-205-0291 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710167804 directly on the NPPES registry website.

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