Kyle D Wilson Od PC

NPI #1194373886 in Layton, Utah

Provider Information

NPI Number: 1194373886
Entity Type: Organization
Organization Name: Kyle D Wilson Od PC
Primary Specialty: Optometrist
Enumeration Date: Aug 27, 2019
Last Updated: Aug 27, 2019

Practice Location

Address: 489 W 2275 N STE B
City: Layton
State: Utah
ZIP Code: 84041-7471
Phone: (801) 776-2020

Authorized Official

Name: KYLE WILSON, OD
Title: OWNER, PRESIDENT
Phone: (801) 473-9002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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