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Individual

DR. TRAVIS WILLIAM MCKIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2206 N BALTIMORE ST, KIRKSVILLE, MO 63501-1906
(660) 627-9119
(660) 627-9125
Mailing address
19188 WHITE OAK TRL, KIRKSVILLE, MO 63501-7158
(660) 349-0566
(660) 627-9125

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002017419
MO

Other

Enumeration date
08/21/2006
Last updated
03/13/2008
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