Julie K. Kueker, O.d., P.a.

NPI #1174610372 in Salem, Illinois

Provider Information

NPI Number: 1174610372
Entity Type: Organization
Organization Name: Julie K. Kueker, O.d., P.a.
Primary Specialty: Optometrist
Enumeration Date: Oct 7, 2006
Last Updated: May 23, 2008

Practice Location

Address: 1870 W MAIN ST
City: Salem
State: Illinois
ZIP Code: 62881-5838
Phone: (618) 548-6590

Authorized Official

Name: JULIE K. KUEKER, O.D.
Title: OWNER/OPTOMETRIST
Phone: (618) 654-1704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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