Individual
DR. KYLE SCOTT BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
888 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9451
(989) 366-7525
Mailing address
888 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9451
(989) 366-7525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005234
MI
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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