Individual
KAYLEE MICHELLE MERGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8727
(270) 798-8224
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3854
TN
152W00000X
Optometrist
Primary
4901005717
MI
Other
Enumeration date
08/03/2023
Last updated
05/31/2024
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