Kent Lee Frazier, OD

NPI #1710004106 in Neosho, Missouri

Provider Information

NPI Number: 1710004106
Entity Type: Individual
Name: Kent Lee Frazier, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3200 LUSK DR
City: Neosho
State: Missouri
ZIP Code: 64850-2028
Phone: (417) 451-1119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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