Individual
DR. RONALD MICHAEL KICHURA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5955 ZEAMER AVE, 3 MDG OPTOMETRY CLINIC, ELMENDORF AFB, AK 99506-3702
(907) 580-1150
(907) 580-1152
Mailing address
9612 SAINT GEORGE CIR, EAGLE RIVER, AK 99577-8648
(907) 696-0929
(907) 580-1152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AA 182
AK
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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