Organization
PEDIATRIC EYE CARE OF THE HEARTLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYBETH E KAPP MD (OWNER)
(573) 334-7427
Entity
Organization
Contact information
Practice address
3065 WILLIAM ST, STE 207, CAPE GIRARDEAU, MO 63703-6393
(573) 334-7427
(573) 334-5970
Mailing address
3065 WILLIAM ST, STE 207, CAPE GIRARDEAU, MO 63703-6393
(573) 334-7427
(573) 334-5970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R2K43
MO
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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