Organization
KYLE D WILSON OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WILSON OD (OWNER, PRESIDENT)
(801) 473-9002
Entity
Organization
Contact information
Practice address
489 W 2275 N STE B, LAYTON, UT 84041-7471
(801) 776-2020
Mailing address
489 W 2275 N STE B, LAYTON, UT 84041-7471
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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