Individual
DAISY KIPKEMBOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3431 COLONNADE PKWY STE 100, BIRMINGHAM, AL 35243-3338
(205) 697-2020
(205) 967-7120
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT003349
GA
152W00000X
Optometrist
Primary
R-319
AL
Other
Enumeration date
07/23/2021
Last updated
10/26/2023
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