Individual
DR. JEREMIE ELDON FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
713 MARSH AVE, KINSLEY, KS 67547-1129
(620) 659-3351
Mailing address
713 MARSH AVE, KINSLEY, KS 67547-1129
(620) 659-3351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1770
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200540510A
—
KS
Enumeration date
08/14/2007
Last updated
12/14/2013
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