Individual
DR. EILENE EUGENIO KINZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
147 SYCAMORE ST, KENTUCKY COLLEGE OF OPTOMETRY, PIKEVILLE, KY 41501-9118
(606) 218-5514
Mailing address
147 SYCAMORE ST, KENTUCKY COLLEGE OF OPTOMETRY, PIKEVILLE, KY 41501-9118
(606) 218-5514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201080570
—
VA
05
—
7100397540
—
KY
Enumeration date
10/07/2009
Last updated
04/16/2021
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