Individual
MR. WILLIAM ROBERT KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 9TH AVE SE, WATERTOWN, SD 57201-5387
(605) 886-2038
(605) 886-2038
Mailing address
1372 MARINA BAY DR, WATERTOWN, SD 57201-5487
(605) 882-2180
(605) 882-2180
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9287310
—
SD
Enumeration date
12/02/2006
Last updated
07/08/2007
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