Individual
DR. ANDREA M NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2 S SILVER ST, PAOLA, KS 66071-1469
(913) 951-7696
Mailing address
2 S SILVER ST, PAOLA, KS 66071-1469
(913) 951-7696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1819
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200912130
—
KS
Enumeration date
08/26/2010
Last updated
08/06/2013
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