Organization
WYANDOTTE FAMILY EYECARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLY SKAGGS (OFFICE MANAGER)
(913) 342-4405
Entity
Organization
Contact information
Practice address
21 N 12TH ST, KANSAS CITY, KS 66102-5161
(913) 342-4405
(913) 342-4406
Mailing address
21 N 12TH ST, KANSAS CITY, KS 66102-5161
(913) 342-4405
(913) 342-4406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/03/2012
Last updated
11/05/2013
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