Individual
ALISON DOMENICA KITZEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ 2038
AZ
152W00000X
Optometrist
OPT002755
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2038
AZ MEDICAL LICENSE
AZ
01
—
OPT002755
GA OPTOMETRY LICENSE
GA
Enumeration date
07/02/2013
Last updated
02/19/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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