Individual
KAYE DILLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11130-L SOUTH LAKES, RESTON, VA 20191
(703) 476-0077
(703) 476-9627
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6509
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001582
VA
152W00000X
Optometrist
TA2012
MD
Other
Enumeration date
10/12/2006
Last updated
04/15/2008
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