Individual
DR. KATHLEEN MIRAFLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
451 SPRINGS END LN NE, MARIETTA, GA 30068-3076
(678) 926-1545
Mailing address
451 SPRINGS END LN NE, MARIETTA, GA 30068-3076
(678) 926-1545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5943371428
—
GA
05
—
594337142D
—
GA
Enumeration date
10/06/2005
Last updated
03/18/2026
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