Ksm, Pllc

NPI #1962793976 in Lexington, Kentucky

Provider Information

NPI Number: 1962793976
Entity Type: Organization
Organization Name: Ksm, Pllc
Primary Specialty: Optometrist
Enumeration Date: Apr 25, 2011
Last Updated: Apr 25, 2011

Practice Location

Address: 2716 OLD ROSEBUD RD
Address 2: SUITE 130
City: Lexington
State: Kentucky
ZIP Code: 40509-8008
Phone: (859) 327-3701

Authorized Official

Name: KAREN SANTOS MCCLOUD, O.D.
Title: SOLE MEMBER
Phone: (859) 327-3701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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