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Kyle Kenison, O.D
NPI 1750370730 · on the registry since 2005
Practice
- Address
- 855 West 6th South
Mountain Home, ID 83647 - Phone
- (208) 587-2020
- Fax
- (208) 587-3349
- Organisation at this address
- Elmore County Eyecare, Pa.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-15
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 Idaho