Organization
KICKAPOO MANAGEMENT LLC
Active
Other names
Perry EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E REED O.D. (MANAGING MEMBER)
(435) 239-8756
Entity
Organization
Contact information
Practice address
2480 S HIGHWAY 89, SUITE B, PERRY, UT 84302-6727
(435) 239-8756
Mailing address
2480 S HIGHWAY 89, SUITE B, PERRY, UT 84302-6727
(435) 239-8756
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
UT
Other
Enumeration date
05/05/2015
Last updated
01/15/2016
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