Most Relevant Information
Provider Data
| NPI Number: | 1003420399 |
| Provider Name: | KYLE KIYOSHI HARADA OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 34666 |
Most Important Dates
| Enumeration Date: | 09/03/2020 |
| Last Updated: | 09/03/2020 |
Provider Practice Location
1010 STILLWELL DR UNIT 2422
DURHAM
NC
277076281
Practice Location Phone/Fax
| Phone: | 4084383658 |
| Fax: |
Provider Mailing Location
1010 STILLWELL DR UNIT 2422
DURHAM
NC
277076281
Provider Mailing Phone/Fax
| Phone: | 4084383658 |
| Fax: |