Melinda Kathryn Kennel O.D.

NPI 1013908656 - Optometrist - 152W00000X

NPI Details
NPI 1013908656
Gender Female
Enumeration Date 11/02/2005
Last Updated 12/29/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
408 S 8TH AVE
BROKEN BOW NE, 68822-2009, US
Phone (308) 872-2291
Fax (308) 872-3122
Business Location
PO BOX 506
BROKEN BOW NE, 68822-0506, US
Phone (308) 872-2291
Fax (308) 872-3122
Toxanomy
Taxonomy Code 152W00000X
License State Kansas
License Number 1728
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According to our database, Dr. Melinda Kathryn Kennel O.D. NPI is 1013908656, taxonomy code is 152W00000X and license number is 1728, license state is located at Kansas. Melinda Kathryn Kennel O.D. physically located at 408 S 8th Ave, Broken Bow NE, 68822-2009. NPI Number Melinda Kathryn Kennel O.D. has the Individual type.

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1013908656 NPI number is provided on an as is basis without warranty of any kind. 1013908656 is maintained by the National Plan & Provider Enumeration System. The contents of Melinda Kathryn Kennel O.D. are for informational purposes only.