Individual
KIRA ZELENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
835 MONROE ST, NEWPORT, KY 41071-2062
(859) 415-2862
(859) 415-2863
Mailing address
16121 EDGINGTON RD, WILLIAMSBURG, OH 45176-9642
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
99-253
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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