Individual
DR. KATHLEEN VIOLA AMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2101 S PRINCETON ST, SUITE #100, OTTAWA, KS 66067-4007
(785) 242-7300
Mailing address
2901 ATCHISON CIR, LAWRENCE, KS 66047-3950
(785) 727-9759
(785) 242-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1729
KS
152W00000X
Optometrist
18002796B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11357975
CAQH
—
05
—
200320070
—
IN
05
—
200400380A
—
KS
Enumeration date
03/21/2006
Last updated
10/03/2022
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