Individual
KENNETH J KRIVACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7457 LAS COLINAS BLVD, #100, IRVING, TX 75063-7561
(214) 382-3061
(214) 382-3071
Mailing address
7457 LAS COLINAS BLVD, #100, IRVING, TX 75063-7561
(214) 382-3061
(214) 382-3071
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2928TG
TX
152WC0802X
Corneal and Contact Management Optometrist
2928TG
TX
Other
Enumeration date
12/05/2006
Last updated
04/30/2015
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