Heidi Nicole Ensley, O.D.

NPI #1225385644 in Arkansas City, Kansas

Provider Information

NPI Number: 1225385644
Entity Type: Individual
Name: Heidi Nicole Ensley, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 6, 2012
Last Updated: Aug 6, 2012

Practice Location

Address: 2508 EDGEMONT DR
Address 2: STE 6
City: Arkansas City
State: Kansas
ZIP Code: 67005-3854
Phone: (620) 442-2577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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