Individual
DR. KEVIN JAY WOGALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9875 S EASTERN AVE UNIT 15E, LAS VEGAS, NV 89183-6976
(725) 231-9985
(702) 634-4101
Mailing address
9875 S EASTERN AVE UNIT 15E, LAS VEGAS, NV 89183-6976
(725) 231-9985
(702) 634-4101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1217
AZ
Other
Enumeration date
05/10/2006
Last updated
02/23/2023
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