Organization
RONALD M KICHURA OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD M KICHURA OD (OWNER/PROVIDER)
(907) 580-1150
Entity
Organization
Contact information
Practice address
5953 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-1150
Mailing address
5953 ZEAMER AVE, JBER, AK 99506-3702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
182
AK
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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