Individual
DR. ALICIA GENILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3660 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2357
(816) 524-7400
Mailing address
13120 KING ST, OVERLAND PARK, KS 66213-4483
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2019017140
MO
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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