Individual
KYLE MORGAN GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
701 2ND AVE SE, QUINCY, WA 98848-1531
(509) 787-1581
Mailing address
701 2ND AVE SE, QUINCY, WA 98848-1531
(509) 787-1581
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
657
NV
152W00000X
Optometrist
7240166-9934
UT
152W00000X
Optometrist
Primary
OD60178254
WA
152W00000X
Optometrist
S-B76-TA-792
AL
Other
Enumeration date
07/02/2008
Last updated
11/03/2022
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