Kip Newell Od LLC
NPI #1205018413 in Upper Sandusky, Ohio
Provider Information
- NPI Number
- 1205018413
- Entity Type
- Organization
- Organization Name
- Kip Newell Od LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 29, 2007
- Last Updated
- May 7, 2011
Practice Location
- Address
- 131 W WYANDOT AVE
- City
- Upper Sandusky
- State
- Ohio
- ZIP Code
- 43351-1348
- Phone
- (419) 209-0540
Authorized Official
- Name
- MARY NEWELL
- Title
- OFFICE MANAGER
- Phone
- (419) 209-0540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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