Provider Demographics
NPI:1548854771
Name:POYNER, KAYLYNN KRISTINA (DOCTOR OF OPTOMETRY)
Entity type:Individual
Prefix:DR
First Name:KAYLYNN
Middle Name:KRISTINA
Last Name:POYNER
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Gender:F
Credentials:DOCTOR OF OPTOMETRY
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Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:3000 S HULEN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1929
Practice Address - Country:US
Practice Address - Phone:817-738-2027
Practice Address - Fax:817-738-5440
Is Sole Proprietor?:No
Enumeration Date:2021-02-28
Last Update Date:2021-03-26
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Provider Licenses
StateLicense IDTaxonomies
TX10181152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist