Individual
KIRSTEN DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2005 COURT ST, BEATRICE, NE 68310-3210
(402) 223-4098
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6241
(618) 462-9818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1534
NE
Other
Enumeration date
05/27/2021
Last updated
01/05/2022
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