BRANDON KINGREY
Individual Provider (NPI-1)
Active
Ophthalmology
Provider Information
- NPI Number
1225771660- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1530 N LINDBERG CIR, WICHITA, KS, 672066400
- Phone
- (316) 263-6273
Specialties & Taxonomies
Ophthalmology
Primary License: KS #04-53002
Ophthalmology
License: OK #39387