KICKAPOO MANAGEMENT LLC

Eyewear Supplier

Active Organization
NPI: 1568849073

Practice Address

2480 S HIGHWAY 89
SUITE B
Perry, UT 84302

Phone: (435) 239-8756

Specialties

Specialty Code Primary License
Eyewear Supplier 332H00000X Yes -

Frequently Asked Questions

NPI 1568849073 is the National Provider Identifier for KICKAPOO MANAGEMENT LLC, a Eyewear Supplier provider located in Perry, UT. This NPI was enumerated on May 5, 2015.

Quick Facts

NPI
1568849073
Type
Organization
Enumerated
May 5, 2015
Last Updated
Jan 15, 2016

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