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Individual

KIMBERLY SWAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4620 J C NICHOLS PKWY, STE 421, KANSAS CITY, MO 64112-1624
(816) 561-0306
(816) 531-7166
Mailing address
4601 W 109TH ST, STE 100, OVERLAND PARK, KS 66211-1313
(913) 491-0765
(913) 317-9185

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1666
KS
152W00000X
Optometrist
Primary
2003015588
MO

Other

Enumeration date
06/14/2005
Last updated
07/08/2007
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