Individual
TINA L KREUTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1707 CEDAR GROVE RD STE 3, SHEPHERDSVILLE, KY 40165-8572
(502) 543-1624
(502) 543-1627
Mailing address
1707 CEDAR GROVE RD STE 3, SHEPHERDSVILLE, KY 40165-8572
(502) 543-1624
(502) 543-1627
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1901DT
KY
Other
Enumeration date
08/21/2011
Last updated
01/02/2013
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