Individual
MARK ELLIOT NORDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
917 BROADWAY ST, PAINTSVILLE, KY 41240-1407
(606) 788-0433
Mailing address
917 BROADWAY ST, PAINTSVILLE, KY 41240-1407
(606) 788-0433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2299DT
KY
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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