Individual
DR. KYLE STEVEN SEXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3500 S MERIDIAN, SPACE 945, PUYALLUP, WA 98373-3779
(253) 864-9353
(253) 864-9355
Mailing address
PO BOX 65713, UNIVERSITY PLACE, WA 98464-1713
(253) 864-9353
(253) 864-9355
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OD00003991
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031151
—
WA
01
—
406494055
VSP IDENTIFICATION NUMBER
WA
Enumeration date
09/22/2006
Last updated
08/14/2009
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