Individual
KIRK LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 HARTFORD TPKE, COHENS FASHION OPTICAL, WATERFORD, CT 06385-4238
(860) 444-7360
(860) 444-1800
Mailing address
850 HARTFORD TPKE, COHENS FASHION OPTICAL, WATERFORD, CT 06385-4238
(860) 444-7360
(860) 444-1800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001095
CT
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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