Individual
ALANNA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
112 GLOVER DR, MOUNT ORAB, OH 45154-8390
(937) 444-2525
(937) 444-4077
Mailing address
112 GLOVER DR, MOUNT ORAB, OH 45154-8390
(937) 444-2525
(937) 483-5230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1957DT
KY
152W00000X
Optometrist
Primary
OPT.006292
OH
152W00000X
Optometrist
T3208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1957DT
CERTIFICATION
KY
01
—
T3208
CERTIFICATION
OH
Enumeration date
06/13/2014
Last updated
05/02/2023
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