Individual
MR. CONNOR HAYS GALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
22414 W 66TH ST, SHAWNEE, KS 66226-3501
(913) 441-3937
(913) 441-3938
Mailing address
22414 W 66TH ST, SHAWNEE, KS 66226-3501
(913) 441-3937
(913) 441-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2079
KS
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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