Organization
RYAN J. KUEKER, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JENNINGS KUEKER OD (PRESIDENT/OWNER)
(785) 456-2236
Entity
Organization
Contact information
Practice address
631 LINCOLN ST, WAMEGO, KS 66547-1635
(785) 456-2236
(785) 456-2570
Mailing address
PO BOX 27, WAMEGO, KS 66547-0027
(785) 456-2236
(785) 456-2570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1718
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200357750A
—
KS
Enumeration date
09/29/2006
Last updated
11/24/2008
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