Kirk Howard Od PA

NPI #1114090875 in Crestview, Florida

Provider Information

NPI Number: 1114090875
Entity Type: Organization
Organization Name: Kirk Howard Od PA
Primary Specialty: Optometrist
Enumeration Date: Nov 17, 2006
Last Updated: Mar 27, 2008

Practice Location

Address: 2491 S FERDON BLVD
City: Crestview
State: Florida
ZIP Code: 32536
Phone: (850) 682-4014

Authorized Official

Name: DR. CHARLES KIRK HOWARD, OD
Title: OWNER
Phone: (850) 682-4014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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