Individual
DR. KEVIN DEAN GUNNERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1301 E HIGHWAY 24, MOBERLY, MO 65270-3683
(660) 263-5885
(660) 263-2362
Mailing address
1301 E HIGHWAY 24, MOBERLY, MO 65270-3683
(660) 263-5885
(660) 263-2362
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
02126
IA
152W00000X
Optometrist
1235
NE
152W00000X
Optometrist
Primary
1999137663
MO
Other
Enumeration date
08/15/2006
Last updated
08/26/2008
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