Dr. KYLE M CHEATHAM -- O. D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1568568384- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O. D.
- Status
- Active
Contact & Location
- Address
- 2514 W BROADWAY, COUNCIL BLUFFS, IA, 515013509
- Phone
- (712) 322-3097
- Fax
- (712) 322-4130
Specialties & Taxonomies
Optometrist
License: NE #1267
Optometrist
Primary License: IA #02373