Individual
DR. KIP L NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
131 W WYANDOT AVE, UPPER SANDUSKY, OH 43351-1348
(419) 209-0540
(419) 209-0540
Mailing address
131 W WYANDOT AVE, UPPER SANDUSKY, OH 43351-1348
(419) 209-0540
(419) 209-0518
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4617 / T1363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006895
—
OH
Enumeration date
01/10/2006
Last updated
10/25/2018
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