Organization
KANNARR EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE R KANNARR OD (OWNER)
(620) 235-1737
Entity
Organization
Contact information
Practice address
4 S NATIONAL AVE, FORT SCOTT, KS 66701-1309
(620) 223-0850
(620) 223-2464
Mailing address
4 S NATIONAL AVE, FORT SCOTT, KS 66701-1309
(620) 223-0850
(620) 223-2464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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