Individual
TRAVIS L KINDERKNECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1201 CASTLE ROCK RD, QUINTER, KS 67752-9516
(785) 754-2494
Mailing address
PO BOX 307, QUINTER, KS 67752-0307
(785) 754-2494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1554
KS
Other
Enumeration date
03/14/2006
Last updated
01/30/2008
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