Individual
DR. KYLE EDWARD KRAGENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5323 MOUNT VIEW RD, ANTIOCH, TN 37013-2308
(615) 731-8900
(615) 731-8990
Mailing address
5323 MT. VIEW RD, ANTIOCH, TN 37013
(615) 731-8900
(615) 731-8990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT3104
TN
Other
Enumeration date
06/18/2013
Last updated
06/19/2023
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