Kyle J Kenison, O.D.
NPI #1750370730 in Mountain Home, Idaho
Provider Information
- NPI Number
- 1750370730
- Entity Type
- Individual
- Name
- Kyle J Kenison, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Oct 21, 2005
- Last Updated
- Mar 15, 2017
Practice Location
- Address
- 855 WEST 6TH SOUTH
- City
- Mountain Home
- State
- Idaho
- ZIP Code
- 83647
- Phone
- (208) 587-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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