JONATHAN REDDELL

LEAVENWORTH, KS
NPI1982982013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: KS  1900)
Enumeration Date2011-07-22
Last Update Date2011-07-22
Business Address
-- JONATHAN REDDELL O.D.
2301 10TH AVE
LEAVENWORTH, KS 66048-4214
Phone number: 913-682-2929
Mailing Address
-- JONATHAN REDDELL O.D.
2301 10TH AVE
LEAVENWORTH, KS 66048-4214
Phone number: 913-682-2929