Organization
KYLE D. ANDRUS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE D. ANDRUS O.D. (PRESIDENT)
(435) 628-1112
Entity
Organization
Contact information
Practice address
1930 W. SUNSET BLVD, SUITE 106, ST. GEORGE, UT 84770-6530
(435) 628-1112
(435) 628-5653
Mailing address
140 FLOUROY LUCAS ROAD, SHREVEPORT, LA 71106
(435) 229-1354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/18/2011
Last updated
05/17/2021
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