Individual
KASILLA DEANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
949 S GLENDALE ST, WICHITA, KS 67218-3210
(316) 685-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
Taxonomy
Speciality
Code
Description
License number
State
156FX1201X
Optometric Assistant Technician
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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