Organization
RONALD J. JUENEMANN, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J JUENEMANN OD (PRESIDENT)
(785) 543-2715
Entity
Organization
Contact information
Practice address
655 5TH STREET, PHILLIPSBURG, KS 67661
(785) 543-2715
(785) 543-6556
Mailing address
P.O. BOX 509, PHILLIPSBURG, KS 67661
(785) 543-2715
(785) 543-6556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13993
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952408221
INDIVIDUAL NPI NUMBER
KS
Enumeration date
05/04/2007
Last updated
07/14/2010
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