Individual
JILL M PRILLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
135 S ANDOVER RD, ANDOVER, KS 67002-8037
(316) 733-4322
(316) 733-5860
Mailing address
1851 N WEBB RD, WICHITA, KS 67206-3413
(316) 858-3831
(316) 858-3830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1919
KS
Other
Enumeration date
07/27/2012
Last updated
10/02/2017
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