Provider Demographics
NPI:1194560078
Name:AKERS, WYNSTON DAVIS MCKENZIE (OD)
Entity type:Individual
Prefix:DR
First Name:WYNSTON
Middle Name:DAVIS MCKENZIE
Last Name:AKERS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1010 KY ROUTE 3379
Mailing Address - Street 2:
Mailing Address - City:GRETHEL
Mailing Address - State:KY
Mailing Address - Zip Code:41631-9050
Mailing Address - Country:US
Mailing Address - Phone:606-422-9851
Mailing Address - Fax:
Practice Address - Street 1:147 HIBBARD ST
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1754
Practice Address - Country:US
Practice Address - Phone:606-777-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2386DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist