Organization
KKORALEWSKI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ALEXANDER KORALEWSKI OD (PRESIDENT)
(520) 795-0336
Entity
Organization
Contact information
Practice address
2605 E MANCHESTER ST, TUCSON, AZ 85716-5319
(520) 795-0336
(520) 327-5144
Mailing address
2605 E MANCHESTER ST, TUCSON, AZ 85716-5319
(520) 795-0336
(520) 327-5144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
797
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z134279
PTAN
AZ
Enumeration date
11/25/2009
Last updated
10/29/2014
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