| NPI | 1528020401 |
|---|---|
| Doing Business As | KIES EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID C ANDERSON Practice Administrator 573-335-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-10-03 |