Individual
DR. MICHAEL WILLIAM GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
LHC OPTOMETRY, 5979 DESERT STORM AVE., FORT CAMPBELL, KY 42223
(270) 956-0304
(270) 956-0347
Mailing address
298 SUN HILL CIR, CADIZ, KY 42211-7434
(270) 522-6690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
768DT
KY
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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