Avery, Kathleen Gore
Avery, Kathleen Gore is an sole proprietor health care provider with primary practice located at 3013 Winghaven Blvd , O Fallon MO 63368-3600. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Avery, Kathleen Gore can be contacted via phone (636) 561-3937.Contact Information
Primary practice address
3013 Winghaven Blvd
O Fallon MO 63368-3600
Phone: (636) 561-3937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO2659 | Missouri |
Profile Details
| NPI number | 1417085820 |
|---|---|
| LBN Legal business name | Avery, Kathleen Gore |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Oct 14th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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