Individual
KATHLEEN CONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
3360 PENTAGON BLVD, BEAVERCREEK, OH 45431-1702
(937) 426-4638
Mailing address
3360 PENTAGON BLVD, BEAVERCREEK, OH 45431-1702
(937) 426-4638
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7272SC
OH
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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