Organization
KOKOPELLI EYE CARE PC
Active
Other names
Kokopelli Eye Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CRAIN (ADMINISTRATOR)
(928) 308-5109
Entity
Organization
Contact information
Practice address
2403 N STOCKTON HILL RD, SUITE 1, KINGMAN, AZ 86401-4188
(844) 565-6393
(844) 329-5656
Mailing address
2820 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1242
(928) 771-9000
(928) 759-9902
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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