Individual
KEVIN D ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 NE SAM WALTON LN, LEES SUMMIT, MO 64086-8426
(816) 246-8085
Mailing address
409 NE PARKS EDGE DR, LEES SUMMIT, MO 64064-1270
(816) 308-9500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3103
MO
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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