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Organization

JEFFREY A KLOSTERMAN OPTOMETRIST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY A KLOSTERMAN O.D. (PRESIDENT)
(859) 734-3697
Entity
Organization

Contact information

Practice address
101 S MAIN ST, HARRODSBURG, KY 40330-1633
(859) 734-3697
(859) 734-3695
Mailing address
PO BOX 392, HARRODSBURG, KY 40330-0392
(859) 734-3697
(859) 734-3695

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1674DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77001618
KY
Enumeration date
09/21/2006
Last updated
03/26/2013
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