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Individual

ALANNA KIRK

Active
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Individual

ALANNA KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

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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