Kedzymac Enterprises, LLC

NPI #1376272369 in Cleveland, Oklahoma

Provider Information

NPI Number: 1376272369
Entity Type: Organization
Organization Name: Kedzymac Enterprises, LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 6, 2022
Last Updated: Apr 19, 2024

Practice Location

Address: 107 S BROADWAY ST
City: Cleveland
State: Oklahoma
ZIP Code: 74020-4614
Phone: (918) 385-2245

Authorized Official

Name: DR. LISA KEDZUF-MCGINNIS, OD
Title: OPTOMETRIST
Phone: (918) 520-4344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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