Dr. Alicia Genilo, OD
Optometrist in Lees Summit, MO. Individual provider (NPI-1).
NPI number1962060293
StatusActive
Last updated in NPPESJun 1, 2019
Details
- NPI
- 1962060293
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alicia Genilo
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2019
- Last updated
- Jun 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2019017140 | MO | Yes |
Practice location
3660 Ne Ralph Powell RdLees Summit, MO 64064-2357
Phone 816-524-7400
Mailing address
13120 King StOverland Park, KS 66213-4483
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All 39 Optometrist providers in Lees Summit · All 2,759 providers in Lees Summit
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