Individual
RALPH S. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
122 W 63RD ST, KANSAS CITY, MO 64113-1616
(816) 444-1994
Mailing address
8857 W 75TH ST, OVERLAND PARK, KS 66204-2206
(913) 362-8822
(913) 677-2477
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02549
MO
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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