Individual
MARK KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2045 GILBERT AVENUE, CINCINNATI, OH 45202
(513) 221-8558
Mailing address
2045 GILBERT AVE, CINCINNATI, OH 45202-1403
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OT010280
OH
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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