Individual
KYLE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
334 HIGHWAY 92 S, SUITE 7, DANDRIDGE, TN 37725-4571
(865) 397-9991
(865) 940-1401
Mailing address
209 VISTA VIEW CT, DANDRIDGE, TN 37725-6168
(859) 475-3363
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1711DT
KY
152W00000X
Optometrist
2857
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519327
—
TN
05
—
7100018110
—
KY
Enumeration date
08/16/2007
Last updated
02/17/2012
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