NPI 1023249513
Jacob T Reese, ABOCNCLEC
Practice location
- Address
- 610 N Main St, Wichita, KS 67203-3601
- Phone
- (316) 440-1600
- Fax
- (316) 267-9034
Registered specialties
Optician
Primary
Registry record
- NPI
- 1023249513
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jul 2009
- Record last updated
- 31 Jul 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.