Individual
DR. KRISTIN J GURHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
937K CHETCO AVE 4005, BROOKINGS, OR 97415
(541) 469-6923
Mailing address
937K CHETCO AVE 4005, BROOKINGS, OR 97415
(541) 469-6923
(541) 469-6769
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1948
CO
152W00000X
Optometrist
AT-4403
OR
Other
Enumeration date
03/14/2006
Last updated
02/26/2019
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