Individual
PAUL E UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
607 E RANDALL, HESSTON, KS 67062
(620) 327-2800
(620) 327-2055
Mailing address
PO BOX 696, HESSTON, KS 67062-0696
(620) 327-2800
(620) 327-2055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1191-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100426720A
—
KS
01
—
410040591
RAILROAD MEDICARE
KS
Enumeration date
03/01/2006
Last updated
07/31/2009
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