Dr. Larry R. Kinnick P.c.

NPI #1013199025 in Montrose, Colorado

Provider Information

NPI Number: 1013199025
Entity Type: Organization
Organization Name: Dr. Larry R. Kinnick P.c.
Primary Specialty: Optometrist
Enumeration Date: Nov 30, 2007
Last Updated: Jun 27, 2012

Practice Location

Address: 1910 OTTER POND CIR
City: Montrose
State: Colorado
ZIP Code: 81401-9551
Phone: (970) 596-0490

Authorized Official

Name: DR. LARRY R. KINNICK, O.D.
Title: OWNER/OPTOMETRIST
Phone: (970) 596-0490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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