Most Relevant Information
Provider Data
| NPI Number: | 1003046756 |
| Provider Name: | RICHARD JAY KUEKER O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 1841 |
Most Important Dates
| Enumeration Date: | 07/15/2009 |
| Last Updated: | 11/01/2010 |
Provider Practice Location
222 W 6TH ST
CONCORDIA
KS
669012817
Practice Location Phone/Fax
| Phone: | 7852433386 |
| Fax: | 7852434640 |
Provider Mailing Location
222 W 6TH ST
CONCORDIA
KS
669012817
Provider Mailing Phone/Fax
| Phone: | 7852433386 |
| Fax: | 7852434640 |