KYLE J KENISON

MOUNTAIN HOME, ID
NPI1750370730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MT  mt 587)
Enumeration Date2005-10-21
Last Update Date2017-03-15
Business Address
-- KYLE J KENISON O.D.
855 WEST 6TH SOUTH
MOUNTAIN HOME, ID 83647
Phone number: 208-587-2020
Mailing Address
-- KYLE J KENISON O.D.
855 WEST 6TH SOUTH
MOUNTAIN HOME, ID 83647
Phone number: 208-587-2020
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