Kent Frazier, OD

NPI 1710004106 · on the registry since 2007 · sole proprietor

Practice

Address: 3200 Lusk Dr
Neosho, MO 64850
Phone: (417) 451-1119
Fax: (417) 451-2479
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Missouri