Individual
DR. KELVIN LAMARK GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5914 SUMMERVILLE LN, BOSSIER CITY, LA 71111-5605
(318) 773-2100
Mailing address
5914 SUMMERVILLE LN, BOSSIER CITY, LA 71111-5605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1548-578
LA
152W00000X
Optometrist
Primary
7162T
TX
Other
Enumeration date
08/15/2007
Last updated
12/30/2009
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