Individual
DR. KRISTINE KERESTAN GARBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1400 GLORIA TERRELL DR, SUITE H, WILDER, KY 41076-9188
(859) 441-3400
(859) 572-4822
Mailing address
1400 GLORIA TERRELL DR, SUITE H, WILDER, KY 41076-9188
(859) 441-3400
(859) 572-4822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1196DT
KY
152WV0400X
Vision Therapy Optometrist
1196DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184813
ANTHEM PIN #
KY
01
—
0004324518
AETNA
KY
01
—
1043277577
MEDICARE RAILROAD RETIREMENT BOARD
KY
05
—
77011963
—
KY
Enumeration date
04/27/2006
Last updated
12/03/2013
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