| NPI | 1003098898 |
|---|---|
| Doing Business As | KEBERT OPTICAL DISPENSARY |
| Entity Type | Organization |
| Authorized Contact | KENT L KEBERT CEO 601-684-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2011-03-18 |