Organization
KEY VISION SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSI BUTHERUS OD (PRESIDENT)
(208) 660-1019
Entity
Organization
Contact information
Practice address
355 E NEIDER AVE, COEUR D ALENE, ID 83815-3723
(208) 676-7356
(208) 676-7384
Mailing address
2900 N GOVERNMENT WAY # 233, COEUR D ALENE, ID 83815-3751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
02/07/2020
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