Whalio Doctors

NPI 1063506582

Kent H Kienlen, OD

Practitioner Optometrist Powell, WY

Practice location

Address
401 S Bent St STE B, Powell, WY 82435-2837
Phone
(307) 754-7254
Fax
(307) 754-5937

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence WY-189T (WY)

Registry record

NPI
1063506582
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Oct 2006
Record last updated
14 May 2015

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.