KYLE KENISON, O.D.

Optometrist

Active Individual
NPI: 1750370730

Practice Address

855 WEST 6TH SOUTH
Mountain Home, ID 83647

Phone: (208) 587-2020

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes MT 587 (MT)

Frequently Asked Questions

NPI 1750370730 is the National Provider Identifier for KYLE KENISON, O.D., a Optometrist provider located in Mountain Home, ID. This NPI was enumerated on October 21, 2005.
KYLE KENISON, O.D. practices at 855 WEST 6TH SOUTH, Mountain Home, ID 83647.

Quick Facts

NPI
1750370730
Type
Individual
Enumerated
Oct 21, 2005
Last Updated
Mar 15, 2017

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