Individual
DR. KYLE FREDERICK HOSKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
17900 IRELAND RD, SOUTH BEND, IN 46614-3050
(574) 291-9280
(574) 299-1163
Mailing address
17900 IRELAND RD, SOUTH BEND, IN 46614-3050
(574) 291-9280
(574) 299-1163
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002697
IN
Other
Enumeration date
08/16/2005
Last updated
11/10/2011
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