Kevin Cotter Odpa

NPI #1245420926 in Caldwell, Idaho

Provider Information

NPI Number: 1245420926
Entity Type: Organization
Organization Name: Kevin Cotter Odpa
Primary Specialty: Optometrist
Enumeration Date: Jul 27, 2007
Last Updated: Jul 27, 2007

Practice Location

Address: 5108 CLEVELAND BLVD
City: Caldwell
State: Idaho
ZIP Code: 83607-8002
Phone: (208) 455-2197

Authorized Official

Name: DR. KEVIN COTTER, OD
Title: OWNER
Phone: (208) 455-2197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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