Individual
RYAN SHAWN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
321 S HILLSIDE ST, WICHITA, KS 67211-2130
(316) 685-1898
Mailing address
321 S HILLSIDE ST, WICHITA, KS 67211-2130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2103
KS
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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