Individual
KYLE BRENT DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2211 SE 29TH ST, TOPEKA, KS 66605-2461
(785) 266-3240
Mailing address
2211 SE 29TH ST, TOPEKA, KS 66605-2461
(785) 266-3240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1135-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5335
BLUE CROSS
KS
Enumeration date
08/17/2005
Last updated
04/23/2008
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