Individual
KEVIN G DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
343 W IOWA AVE, NAMPA, ID 83686-2856
(208) 466-7000
(208) 466-2205
Mailing address
343 W IOWA AVE, NAMPA, ID 83686-2856
(208) 466-7000
(208) 466-2205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-740
ID
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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