Kingfisher Eye Clinic Inc

NPI 1215012091 - Optometrist - 152W00000X

NPI Details
NPI 1215012091
Enumeration Date 10/27/2006
Last Updated 02/05/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAMELA K PAMELA
Position OFFICER OF CORPORATION SECRETARY TR
Phone (405) 375-5994
Fax (405) 375-5952
Practice Location
824 S MAIN ST
KINGFISHER OK, 73750-3625, US
Phone (405) 375-5994
Fax (405) 375-5952
Business Location
824 S MAIN ST
KINGFISHER OK, 73750-3625, US
Phone (405) 375-5994
Fax (405) 375-5952
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Kingfisher Eye Clinic Inc NPI is 1215012091, taxonomy code is 152W00000X Kingfisher Eye Clinic Inc physically located at 824 S Main St, Kingfisher OK, 73750-3625. NPI Number 1033115704 has the healthcare provider type.

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1215012091 NPI number is provided on an as is basis without warranty of any kind. 1215012091 is maintained by the National Plan & Provider Enumeration System. The contents of Kingfisher Eye Clinic Inc are for informational purposes only.