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Katie Lynn Kyles, OD

Optometrist in Green Bay, WI. Individual provider (NPI-1).

NPI number1962278747
StatusActive
Last updated in NPPESAug 22, 2024

Details

NPI
1962278747
Entity type
Individual (NPI-1)
Name
Katie Lynn Kyles
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 1, 2023
Certification date
Aug 22, 2024
Last updated
Aug 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist3986-35WIYes
152W00000X Optometrist2023047487MO

Practice location

2330 S Oneida St Ste 102
Green Bay, WI 54304-5118

Phone 920-499-3937

Mailing address

2330 S Oneida St Ste 102
Green Bay, WI 54304-5118

Phone 920-499-3937

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