Individual
DR. KELLI M REGIER-HERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4811 BROADWAY, KANSAS CITY, MO 64111
(816) 756-3577
Mailing address
7533 MOHAWK ST, PRAIRIE VILLAGE, KS 66208-4220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1750
KS
152W00000X
Optometrist
2006017812
MO
Other
Enumeration date
08/17/2006
Last updated
08/21/2012
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