Keith T Hedrick OD

NPI 1013914571 - Optometrist - 152W00000X

NPI Details
NPI 1013914571
Gender Male
Enumeration Date 06/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
615 N BROAD ST
CARLINVILLE IL, 62626-1020, US
Phone (217) 854-3173
Fax (217) 854-4123
Business Location
615 N BROAD ST
CARLINVILLE IL, 62626-1020, US
Phone (217) 854-3173
Fax (217) 854-4123
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Dr. Keith T Hedrick OD NPI is 1013914571, taxonomy code is 152W00000X Keith T Hedrick OD physically located at 615 N Broad St, Carlinville IL, 62626-1020. NPI Number Keith T Hedrick OD has the Individual type.

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1013914571 NPI number is provided on an as is basis without warranty of any kind. 1013914571 is maintained by the National Plan & Provider Enumeration System. The contents of Keith T Hedrick OD are for informational purposes only.