Kathleen Gore Avery, O.D.

NPI #1417085820 in O Fallon, Missouri

Provider Information

NPI Number: 1417085820
Entity Type: Individual
Name: Kathleen Gore Avery, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 28, 2007
Last Updated: Oct 14, 2019

Practice Location

Address: 3013 WINGHAVEN BLVD
City: O Fallon
State: Missouri
ZIP Code: 63368-3600
Phone: (636) 561-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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