Individual
HEIDI NICOLE ENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2508 EDGEMONT DR, STE 6, ARKANSAS CITY, KS 67005-3854
(620) 442-2577
(620) 442-2578
Mailing address
2508 EDGEMONT DR, STE 6, ARKANSAS CITY, KS 67005-3854
(620) 442-2577
(620) 442-2578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1916
KS
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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