Individual
KYLE D MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10036 WOODLAND DR, LENEXA, KS 66220-3802
(913) 254-7456
Mailing address
10036 WOODLAND DR, LENEXA, KS 66220-3802
(913) 707-9009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2059
KS
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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