Organization
KENT H KIENLEN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT H KIENLEN O.D. (PRESIDENT)
(307) 754-7254
Entity
Organization
Contact information
Practice address
401 S BENT ST STE B, POWELL, WY 82435-2837
(307) 754-7254
(307) 754-5937
Mailing address
401 S BENT ST STE B, POWELL, WY 82435-2837
(307) 754-7254
(307) 754-5937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WY-198T
WY
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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