Individual
KYLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1101 HONOR HEIGHTS DR, MUSKOGEE VAMC, MUSKOGEE, OK 74401-1302
(918) 683-3261
Mailing address
RR 1 BOX 850, CHECOTAH, OK 74426-9759
(918) 473-5507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2330
OK
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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