Individual
KENT LEE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3200 LUSK DR, NEOSHO, MO 64850-2028
(417) 451-1119
(417) 451-2479
Mailing address
604 SPLIT RAIL DR, JOPLIN, MO 64801-9198
(417) 673-4066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3105
MO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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