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TRAVIS L KINDERKNECHT O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1285603381

Individual Registrant:
 TRAVIS L KINDERKNECHT O.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
1201 CASTLE ROCK RD  QUINTER, KS 67752-9516 US
Tel: 785-754-2494  Fax: --

Contact information for business:
PO BOX 307  QUINTER, KS 67752-0307 US
Tel: 785-754-2494  Fax: --

Registration Information:
NPI: 1285603381
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
KS1554

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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