Individual
KATIE LYNN KYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2330 S ONEIDA ST STE 102, GREEN BAY, WI 54304-5118
(920) 499-3937
Mailing address
2330 S ONEIDA ST STE 102, GREEN BAY, WI 54304-5118
(920) 499-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2023047487
MO
152W00000X
Optometrist
Primary
3986-35
WI
Other
Enumeration date
12/01/2023
Last updated
08/22/2024
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