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Eddie Light
NPI 1275707911 · on the registry since 2008 · sole proprietor
Practice
- Address
- 981 Forest Ct
Haysville, KS 67060 - Phone
- (316) 522-1095
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas