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1144221672
KYLE W KELLY
LEAVENWORTH, KS
NPI
1144221672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 1309-3)
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
Dr. KYLE W KELLY OD
2301 10TH AVE
LEAVENWORTH, KS 66048-4214
Phone number: 913-682-2929
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Mailing Address
Dr. KYLE W KELLY OD
2301 10TH AVE
LEAVENWORTH, KS 66048-4214
Phone number: 913-682-2929
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