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Kyle D Mayginnes (O.D.)

Dr. Kyle D Mayginnes (O.D.) is a health care provider specializes in Optometrist.

profile-icon Basic Information

Practice Location 5116 N Big Hollow Rd, Suite 103, Peoria, IL 61615-3511, US
Practice Location Phone309-683-0500
Practice Location Fax309-683-0503
GenderMale
Specialty InOptometrist
NPI ?1700867652
Entity TypeIndividual
Enumeration Date ? Nov 8, 2005
Last Update Date ? Sep 7, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Kyle D Mayginnes

SpecialtySpecializationLicenseLicense State
Optometrist 046-008206Illinois

legacy-id-icon Legacy Provider IDs of Kyle D Mayginnes

Provider IdIssuer StateIssuer TypeIssuer
046008206IllinoisMedicaid