Southeast Kansas Eye Care Associates, P.a.

NPI #1144297581 in Coffeyville, Kansas

Provider Information

NPI Number: 1144297581
Entity Type: Organization
Organization Name: Southeast Kansas Eye Care Associates, P.a.
Primary Specialty: Ophthalmology
Enumeration Date: Mar 3, 2006
Last Updated: Jun 12, 2008

Practice Location

Address: 1411 W 4TH ST
Address 2: SUITE D
City: Coffeyville
State: Kansas
ZIP Code: 67337-3300
Phone: (620) 251-3235

Authorized Official

Name: GARRICK A RETTELE, M.D.
Title: PRESIDENT
Phone: (620) 251-3235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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