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Individual

DR. KRISTINE A ERNEWEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2181
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013344
KAISER-COMMERCIAL NUMBER
05
26927209
CO
Enumeration date
02/27/2007
Last updated
04/21/2021
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