Individual
MR. ROBERT HALLAND KIVLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
301 5TH ST, CLARKSTON, WA 99403
(509) 758-0205
(509) 751-0610
Mailing address
PO BOX 10, ASOTIN, WA 99402
(509) 243-9530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1374TX
WA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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