KENN J KOSTELNIK

SPRINGFIELD, MO
NPI1831219260
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MO  TO2395)
Enumeration Date2007-03-30
Last Update Date2007-07-09
Business Address
-- KENN J KOSTELNIK od
1518 E BATTLEFIELD ST
SPRINGFIELD, MO 65804-3704
Phone number: 417-881-5530
Mailing Address
-- KENN J KOSTELNIK od
1518 E BATTLEFIELD ST
SPRINGFIELD, MO 65804-3704
Phone number: 417-881-5530
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