Individual
ANNA KILROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2839 LAFAYETTE RD, INDIANAPOLIS, IN 46222-2147
(317) 924-1300
(317) 924-3741
Mailing address
2839 LAFAYETTE RD, INDIANAPOLIS, IN 46222-2147
(317) 924-1300
(317) 924-3741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003421 A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18003421A
OPTOMETRIC LICENSE
IN
Enumeration date
07/07/2006
Last updated
07/08/2007
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