Individual
KYLE DEAN DEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2615 ALMOND ST, KLAMATH FALLS, OR 97601-1176
(541) 883-3688
(541) 883-3687
Mailing address
2615 ALMOND ST, KLAMATH FALLS, OR 97601-1176
(541) 883-3688
(541) 883-3687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4438ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500763770
—
OR
Enumeration date
06/10/2019
Last updated
08/08/2019
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