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Individual

KAY SHIN SUSANNA WHITTAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1002 MAIN ST, SABETHA, KS 66534-1831
(785) 284-2139
Mailing address
121 S 3RD ST, SABETHA, KS 66534-2411
(785) 285-1349

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1701
KS
152W00000X
Optometrist
5788T
TX

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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