Individual
DR. RONALD KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
910 S 300 W, BLANDING, UT 84511-3921
(435) 678-2324
(435) 678-3344
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 678-2324
(435) 678-3344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
112805-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98013139
—
UT
Enumeration date
06/06/2006
Last updated
03/07/2022
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