Individual
DR. FRED R. SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
809 N 12TH ST, MURRAY, KY 42071-1648
(270) 753-4101
(270) 753-7467
Mailing address
809 N 12TH ST, MURRAY, KY 42071-1648
(270) 753-4101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0985DT
KY
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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