Individual
ELIZABETH ANN KOCHANNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3 MIDRIVERS MALL DRIVE, SEARS OPTICAL, ST. PETERS, MO 63376
(636) 970-4554
(636) 970-3434
Mailing address
930 HARVEY ST, KIRKWOOD, MO 63122-5529
(314) 821-6024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02607
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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