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Individual

DR. KYLE DAVID TREICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT2346
CO
152WC0802X
Corneal and Contact Management Optometrist
2346
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
67481540
CO
Enumeration date
10/24/2005
Last updated
07/08/2022
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