Individual
LAURA KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
640 W CHESTNUT ST, SPRINGFIELD, MO 65806-1016
(417) 869-3937
(417) 869-0281
Mailing address
PO BOX 774, SPRINGFIELD, MO 65801-0774
(417) 869-3937
(417) 869-0281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2016017808
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
06/08/2016
Last updated
06/22/2021
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