| NPI | 1013165729 |
|---|---|
| Former Legal Business Name | KRISTOPHER KNOUS OD LLC |
| Entity Type | Organization |
| Authorized Contact | GENNI MAHONEY Owner 262-549-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2999) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2010-01-15 |