Individual
DR. PAUL ARAM JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5150 ROE BLVD, ROELAND PARK, KS 66205-2359
(913) 403-9013
Mailing address
6010 W 62ND ST, MISSION, KS 66202-3538
(913) 709-8482
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1622
KS
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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