Shane Kinzer, OD

NPI #1427755511 in Moscow, Idaho

Provider Information

NPI Number: 1427755511
Entity Type: Individual
Name: Shane Kinzer, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 9, 2023
Last Updated: Jul 19, 2023

Practice Location

Address: 1844 W PULLMAN RD
City: Moscow
State: Idaho
ZIP Code: 83843-4014
Phone: (208) 883-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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