Organization
KEVIN P RECKLEY OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN P RECKLEY OD (OWNER)
(317) 781-9090
Entity
Organization
Contact information
Practice address
5611 S MERIDIAN ST, INDIANAPOLIS, IN 46217-3750
(317) 781-9090
(317) 782-3937
Mailing address
5611 S MERIDIAN ST, INDIANAPOLIS, IN 46217-3750
(317) 781-9090
(317) 782-3937
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18002071
IN
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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