Individual
DELORES REARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
5031 FREDERICA ST, OWENSBORO, KY 42301-7410
(270) 685-3090
(270) 685-3039
Mailing address
5031 FREDERICA ST, OWENSBORO, KY 42301-7410
(270) 685-3090
(270) 685-3039
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
290984
KY
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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