Individual
DR. TYSON FRANKLIN KALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
185
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002516589
—
NV
01
—
11149
EYE MED
—
01
—
31360
DAVIS
—
01
—
5091
MES
—
Enumeration date
08/08/2006
Last updated
10/13/2011
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