DR. Kippi D Wyatt, OD

NPI #1952321382 in Tahlequah, Oklahoma

Provider Information

NPI Number
1952321382
Entity Type
Individual
Name
DR. Kippi D Wyatt, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jul 20, 2006
Last Updated
Feb 8, 2012

Practice Location

Address
1001 N GRAND AVE
ZIP Code
74464-7017
Phone
(918) 458-2109

Specialties & Taxonomy Codes

Specialty
Optometrist

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