Kemp Optical

NPI #1700894961 in Provo, Utah

Provider Information

NPI Number
1700894961
Entity Type
Organization
Organization Name
Kemp Optical
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Aug 4, 2006
Last Updated
Aug 12, 2008

Practice Location

Address
215 W 940 N
Address 2
SUITE 1
City
Provo
State
Utah
ZIP Code
84604-3325
Phone
(801) 374-2666

Authorized Official

Name
MS. SANDRA CASTLEBERRY, A.B.O.C.
Title
MANAGER/OPTICIAN
Phone
(801) 374-2666

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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